军事训练导致的致死性劳力性热射病病因学调查与分析

发布时间：2018-03-14 18:28

本文选题：中暑　切入点：多器官功能衰竭　出处：《解放军医学杂志》2008年08期 　论文类型：期刊论文

【摘要】：目的分析部队医院劳力性热射病(EHS)的发病原因以及EHS易感因素对其预后的影响。方法回顾性分析6所部队医院1995年9月-2007年8月共18例EHS住院患者的临床资料,并借鉴Minard制定的EHS易感因素(宿主因素、环境因素以及训练组织因素),对所有EHS病例进行评估。以最终治疗结果是否存活为标准,分为死亡病例组(F组)和存活病例组(S组),比较两组易感因素是否存在显著差异,以及两组易感因素的累积数量是否有统计学意义。结果18例EHS均发生在军事训练中,18例患者均合并多器官功能衰竭(MODS)。在EHS的易感因素中,体力不足、与体能不相适应的体力训练、对伤病员没有进行正确的医学分类、诊断不当以及治疗不当等5个因素在死亡病例组与存活病例组中具有显著性差异;死亡病例组中,易感因素的累积数量为10±1.41,显著高于存活病例组5.64±1.96(P0.01)。结论军事训练应强调科学的训练方法,严格执行训练规程。同时还需普及相关人员的EHS防治知识,从自身预防EHS的发生。
[Abstract]:Objective to analyze the etiology of exertional heat emitting disease (EHS) in military hospitals and the influence of susceptible factors of EHS on its prognosis. Methods the clinical data of 18 EHS inpatients from September 1995 to August 2007 in 6 military hospitals were retrospectively analyzed. The risk factors of EHS (host factor, environment factor and training organization factor) developed by Minard were used to evaluate all cases of EHS. The two groups were divided into death case group (F group) and survival case group (group S). Whether there were significant differences in susceptible factors between the two groups were compared. Results all 18 cases of EHS occurred in military training and 18 cases were complicated with multiple organ failure (MODS). Among the susceptible factors of EHS, physical strength was insufficient. There were significant differences among the five factors, such as physical training, medical classification, improper diagnosis and improper treatment, in the death case group and the survival case group, and in the death case group, there were significant differences between the death case group, the survival case group, the death case group, the death case group, the death case group, the death case group and the survival case group. The cumulative number of susceptible factors was 10 卤1.41, which was significantly higher than that in the survival group (5.64 卤1.96) P0.01.Conclusion military training should emphasize scientific training methods and strictly carry out the training procedures. At the same time, it is necessary to popularize the knowledge of EHS prevention and control among relevant personnel and prevent the occurrence of EHS from themselves.
【作者单位】：中国人民解放军总医院外科重症监护科;中国人民解放军总医院外科重症监护科;
【基金】：解放军总医院科技创新基金资助课题(07CX305)
【分类号】：R82

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