Abstract:Objective To investigate the diagnostic value of laboratory examination in patients with heat stroke(HS). Methods The laboratory data of 21 emergency patients with HS hospitalized in No.474 Hospital between July 10 and July 30, 2015 were collected and analyzed by frequency statistics. Results There were different degrees of abnormality in related laboratory results, such as plasmic electrolytes, myocardial enzymes and coagulation function. Procalcitonin and BNP were significantly abnormal in 9 patients, and 6 patients died.Conclusion The fatality rate of HS is high,so timely and accurate laboratory examination may play an important role in improving survival rate and prognosis of the disease.
[1] 全军重症医学专业委员会.热射病规范化诊断与治疗专家共识(草案)[J].解放军医学杂志,2015,40(1):1. [2] 林晓静,刘宏华,邹飞,等.热射病治疗的实验研究进展[J].解放军预防医学杂志,2008,26(5):378. [3] SIMON L,GAUVIN F,AMRE D K,et al.Serum procalcitonin and C-reactive protein levels as markers of bacterial infection:a systematic review and meta-analysis[J].Clin Infect Dis,2004,39(2):206. [4] GROGAN H,HOPKINS P M.Heat stroke:implications for critical care and anaesthesia[J].Br J Anaesth,2002,88(5):700. [5] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.不稳定性心绞痛和非ST段抬高心肌梗死诊断与治疗指南[J].中华心血管病杂志,2007,35(4):295. [6] LEE B J,EMERY-SINCLAIR E L,MACKENZIE R W, et al.The impact of submaximal exercise during heat and/or hypoxia on the cardiovascular and monocyte HSP72 responses to subsequent (post 24 h) exercise in hypoxia[J].Extrem Physiol Med,2014,3:15. [7] MCDERMOTT B P,CASA D J,YEARGIN S W,et al.Recovery and return to activity following exertional heat stroke:considerations for the sports medicine staff[J].J Sport Rehabil,2007,16(3):163. [8] LAMBERT G P.Role of gastrointestinal permeability in exertional heatstroke[J].Exerc Sport Sci Rev,2004,32(4):185. [9] SUCHOLEIKI R.Heatstroke[J].Semin Neurol,2005,25(3):307. [10] 陈寿权,李章平.中暑及其救治[J].世界急危重病医学杂志,2007,4(5):2040. [11] 李亚洁,肖爱军,吴丽萍,等.不同方法建立实验性热射病大鼠模型的比较[J].解放军预防医学杂志,2007,25(1):17. [12] 吴昌跃,陈荣让,李诸安.热射病致多器官功能障碍综合征12例救治分析[J].中国医药指南,2013,11(33):95. [13] 包新月.重症劳力性热射病患者凝血功能的变化[J].中国乡村医药,2015,22(21):57. [14] 岳慧,宋青,纪筠,等.肌酸激酶浓度在劳力性热射病早期判别预后的研究[J].军医进修学院学报,2008,28(6):457. [15] 周夷霞,金雨虹,方建江.热射病并发横纹肌溶解症伴弥漫性血管内凝血的临床分析[J].中国现代医生,2013,51(6):34.