中暑-急诊科医师熟悉而又陌生的疾病

中暑-急诊科医师熟悉而又陌生的疾病

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时间:2018-07-31

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1、中暑-急诊医师熟悉而陌生的疾病东南大学附属中大医院急诊科徐昌盛主要内容流行病学研究法律法规体温调节机制中暑救治策略南京地区中暑天气条件指数研究预报气象科学,2001,21(2):246-2521995ChicagoheatwaveNoofficial"deathtoll".Figuresshowthat739additionalpeoplediedinthatparticularweekabovetheusualweeklyaverageMostofthevictimswereelderlypoorres

2、identsoftheinnercity,whocouldnotaffordairconditioninganddidnotopenwindowsorsleepoutsideforfearofcrime.11%morehospitaladmissionsthanaverageforcomparisonweeksJuly11:23–32°CJuly12:24–37°CJuly13:27–41°CJuly14:29–39°CJuly15:25–37°CJuly16:24–34°CJuly17:23–32°CT

3、he2003EuropeanheatwaveIntensiveCareMed,2004Jan;30(1):1-3.Duringthe9daysofextremetemperatures,thesummerheatwavewasexceptionalfortheextensivelossoflife,whichculminatedin14,800deathsinFrance.300byAugust4th,3,900byAugust8th,10,600byAugust12thand14,800byAugust

4、20th.Theexcessdeathsoccurredinhospital(42%),home(35%)and“maisonsderetraite”(19%).HeavycasualtiesoccurredinotherEuropeancountries,namelyItaly,Spain,PortugalandtheUnitedKingdom,wheretheasyetunconfirmedfiguresforfatalitiesarebetween1,000and5,000peopleThe2006

5、CaliforniaHeatWave:ImpactsonHospitalizationsandEmergency DepartmentVisits.EnvironHealthPerspect.2009Jan;117(1):61-7.Duringtheheatwave,16,166excessEDvisitsand1,182excesshospitalizationsoccurredstatewide.EDvisitsforheat-relatedcausesincreasedacrossthestate,

6、especiallyintheCentralCoastregion,whichincludesSanFrancisco.Children(0–4yearsofage)andtheelderly(≥65yearsofage)wereatgreatestrisk.EDvisitsalsoshowedsignificantincreasesforacuterenalfailure,cardiovasculardiseases,diabetes,electrolyteimbalance,andnephritis.

7、Heat-RelatedDeathsAfteranExtremeHeatEvent—FourStates,2012,andUnitedStates,1999–2009.MMWRMorbMortalWklyRep,2013Jun7;62(22):433-6.DuringJune30–July13,2012,32deathsfromexcessiveheatexposureMedianage:65years,72%weremale75%wereunmarriedorlivingalone69%diedatho

8、me,withlackofairconditioning5whodied,aairconditionerwaspresentbutnotturnedon.3deathsHeatexposureoccurredoutdoorsDuring1999–2009,anannualaverageof658heat-relateddeathsoccurredinUSA火炉上的中国20130808高温中暑报告-浙江CDC6月1日8月7日,浙

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