Paper - WANFANG MED ONLINE

You Position: Home > Paper

Relation between the Laboratory Test Results at Hospitalization and Prognosis in Heat Stroke

( views:27, downloads:19 )

Author:: No author available

Journal Title:: Journal of Military Surgeon in in Southwest China

Issue:: 4

DOI:: 10.3969/j.issn.1672-7193.2021.04-06.005

Key Word:: 热射病;肝肾功;心肌标志物;凝血功能

Abstract：目的探讨热射病患者入院实验室检测结果与预后的关系.方法收集我院2012年1月至2018年12月收治的34例热射病患者临床资料,根据预后分为存活组与死亡组,回顾性分析各器官功能指标在不同预后患者中的变化情况.结果 34例患者共存活29例,死亡5例,死亡率为14.71％,存活组平均年龄(26±10.41)岁显著低于死亡组(48.2±29.54)岁(P=0.003);死亡组谷丙转氨酶、谷草转氨酶、尿素氮及肌酐值较存活组显著更高(P<0.01);死亡组肌钙蛋白、肌红蛋白、肌酸激酶及乳酸脱氢酶显著高于存活组(P=0.000);存活组凝血酶原时间及国际标准化率低于死亡组(P<0.01).结论热射病患者入院时存在不同程度的器官功能损伤,入院时肝功转氨酶、尿素氮、肌酐、心肌标志物、凝血酶原时间及国际标准化率检测值越高,其预后越差.

Reference

[1]吴士文,陈阿楠,卜甜甜,等.热射病发病机制的研究进展[J].2010,(3).
[2]李英华,刘淑红,郭素青,等.热射病血液系统损害的临床分析[J].2011,(44).
[3]元智昊,闫红,李玉堂,等.实验室指标对劳力性热射病预后判断价值比较[J].2016,(5).
[4]范纯泉,陈长青,唐卓夫,等.军事训练致劳力性热射病28例临床救治体会[J].2016,(2).
[5]王秋慧,薛克俭,陈兴,等.21例热射病实验室检查结果分析[J].2016,(5).
[6]汪正权,屠旭旦,陆雯,等.热射病患者临床预后的预测指标分析[J].2016,(8).
[7]王洪萍,莎宁,秦秀菊,等.热射病的发病学特点及流行病学进展[J].2015,(8).
[8]杨萌萌,张宇,赵妍,等.热射病致多器官功能障碍综合征的研究进展[J].2017,(2).
[9]Kai, Zhang,Tsun-Hsuan, Chen,Charles E, Begley.Impact of the 2011 heat wave on mortality and emergency department visits in Houston, Texas.[J].2015,14.
[10].A novel early risk assessment tool for detecting clinical outcomes in patients with heat-related illness (J-ERATO score): Development and validation in independent cohorts in Japan.[J].2018,13(5).
[11]Melissa I, Naiman,Maria, Gray,Joseph, Haymore,etc.Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management.[J].2017,(129).
[12].Design and Development of a Wearable Device for Heat Stroke Detection.[J].2017,18(1).
[13]Aaron W, Tustin,Glenn E, Lamson,Brenda L, Jacklitsch,etc.Evaluation of Occupational Exposure Limits for Heat Stress in Outdoor Workers - United States, 2011-2016.[J].2018,67(26).
[14]Mozzini, Chiara,Xotta, Giovanni,Garbin, Ulisse,etc.Non-Exertional Heatstroke: A Case Report and Review of the Literature.[J].2017,18.
[15]Yukie Ito,Manabu Akahane,Tomoaki Imamura.Impact of Temperature in Summer on Emergency Transportation for Heat-Related Diseases in Japan[J].2018,131(5).
[16].职业性中暑诊断标准[J].2009,(4).
[17].Characteristics of Heat Illness during Hajj: A Cross-Sectional Study.[J].2018.
[18]White, Jessica R.,Berisha, Vjollca,Lane, Kathryn,etc.Evaluation of a Novel Syndromic Surveillance Query for Heat-Related Illness Using Hospital Data From Maricopa County, Arizona, 2015[J].2017,132(1S).
[19]Helwig BG,Leon LR.Heat stroke: role of the systemic inflammatory response.[J].2010,109(6).
[20]Bobb Jennifer F.,Obermeyer Ziad,Wang Yun,etc.Cause-Specific Risk of Hospital Admission Related to Extreme Heat in Older Adults[J].2014,312(24).
[21]McGeehin MA.,Mirabelli M..The potential impacts of climate variability and change on temperature-related morbidity and mortality in the United States[J].2001,109(Suppl 2).
[22]Satirapoj Bancha,Kongthaworn Suramanat,Choovichian Panbubpa,etc.Electrolyte disturbances and risk factors of acute kidney injury patients receiving dialysis in exertional heat stroke[J].2016,17(1).