本文選題：熱射病 + 軍事訓(xùn)練��； 參考：《海南醫(yī)學(xué)》2016年02期

【摘要】：目的總結(jié)勞力性熱射病患者的臨床救治經(jīng)驗和體會。方法采用吸氧、物理降溫等現(xiàn)場急救措施和藥物降溫、糾正水、電解質(zhì)紊亂及酸堿失衡、擴容、抗休克、防止腦水腫、保護重要臟器功能等綜合治療手段對28例勞力性熱射病患者進行救治。結(jié)果 28例患者中26例經(jīng)住院治療4~17d后痊愈出院,未遺留后遺癥;2例患者因高熱、休克、急性腎功能衰竭經(jīng)積極搶救治療轉(zhuǎn)上級醫(yī)院,住院20~30 d后康復(fù)出院。所有患者隨訪3~6個月,無后遺癥。結(jié)論夏季部隊軍事訓(xùn)練容易發(fā)生熱射病,要做好預(yù)防中暑的健康教育,完善熱射病應(yīng)急搶救預(yù)案,熟悉熱射病救治流程,通過防治結(jié)合來減少熱射病導(dǎo)致的非戰(zhàn)斗減員。
[Abstract]:Objective to summarize the experience and experience in the treatment of exertive heat-emitting disease. Methods Field emergency measures such as oxygen inhalation, physical cooling and drug cooling were used to correct water, electrolyte disturbance and acid-base imbalance, to expand capacity, to resist shock, and to prevent brain edema. 28 patients with exertional heat-emitting disease were treated by comprehensive therapy such as protecting important organ function. Results among 28 patients, 26 patients were cured and discharged after 4 days of hospitalization. 2 patients with no sequelae were transferred to higher hospitals after intensive rescue and treatment, and 2 patients were discharged from hospital after 20 days of hospitalization because of high fever, shock and acute renal failure. All patients were followed up for 3 ~ 6 months without sequelae. Conclusion the military training in summer is prone to heat radiation disease. It is necessary to do a good job in health education to prevent heat stroke, to perfect the emergency rescue plan of heat radiation disease, to be familiar with the treatment process of heat radiation disease, and to reduce the non-combat attrition caused by heat radiation disease through the combination of prevention and treatment.
【作者單位】： 中國人民解放軍第175醫(yī)院廈門大學(xué)附屬東南醫(yī)院骨科;海軍92985部隊衛(wèi)生隊急診科;
【分類號】：R82

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