摘要
热射病以核心体温升高(>40℃)及不同程度的中枢神经系统功能紊乱为特征,是热疾病中最严重的一种。快速有效地降低核心体温是临床治疗的首要措施,而冷却速率是决定热射病患者预后的关键因素之一。血管内降温技术是近年来逐渐应用于重症医学领域的一种新的降温技术,可直接对血液进行降温或复温,较传统降温方式能提供更高的冷却速率。该文就血管内降温技术的临床应用及其对热射病治疗的有效性和安全性进行综述。
Heat stroke is the most severe form of heat-related illness,characterized by an elevated core body temperature(>40℃)and an altered level of central nervous system dysfunction.The primary goal of treatment for heat stroke is to lower core body temperature,and evidence suggests that timely cooling promotes survival with limited sequelae.Intravascular cooling technique is a new cooling technique gradually applied in intensive care medicine in recent years,which can directly cool or rewarm blood,and can provide a larger cooling rate than traditional cooling methods.The focus of this article is to review the research progress of intravascular cooling technique on clinical application,and discuss the feasibility and safety of intravascular temperature management for heat stroke.
作者
高建新
黎檀实
Gao Jian-Xin;Li Tan-Shi(Department of Emergency,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2021年第2期207-211,共5页
Medical Journal of Chinese People's Liberation Army
基金
解放军总医院临床科研扶持基金(2018FC-WJFWZX-2-11)
关键词
热射病
血管内降温
治疗措施
heat stroke
intravascular cooling
treatment measures
