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目的:探讨中暑及热射病患者院前救治和护理要点。方法:分析62例中暑患者“早期快速降温,早期快速扩容,气道支持、积极支持脏器功能”集束化治疗与急救护理体会。结果:轻度中暑患者46例经集束化治疗后观察数小时出院,无并发症发生,其中16例重症中暑(热射病)患者,10例患者完全康复,4例留有严重神经系统损害后遗症,2例放弃治疗。结论:集束化治疗与急救护理是中暑尤其是及热射病患者院前急救的关键一环。
Objective: To explore the treatment and nursing points of patients with heat stroke and heat stroke. Methods: Sixty-two patients with stroke were analyzed for “early rapid cooling, rapid early expansion, airway support and active support of organ function” and the experience of intensive treatment and emergency nursing. Results: 46 patients with mild heat stroke were discharged after discharge for several hours after treatment. There were 16 patients with severe heat stroke (heat-induced fever), 10 patients recovered completely and 4 patients with severe neurological damage sequelae , 2 patients give up treatment. Conclusions: Cluster therapy and emergency care are the key links of heat stroke, especially in pre-hospital emergency care for patients with thermo shots.