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中国热射病诊断与治疗指南(2025版)
Chinese guideline for the diagnosis and treatment of heatstroke(2025 edition)
【摘要】 近年来,随着气候变暖,热射病的发生率和死亡率均逐年增高,且具有不典型症状的热射病发病数明显增加。为了应对日益复杂的热射病防控形势,全军热射病防治与研究中心、全军热射病防治专家组和全军重症医学专业委员会采用推荐意见分级评价、制定与评估系统(GRADE),临床指南研究与评估标准(AGREE)以及国际实践指南报告标准(RIGHT),基于2015版《热射病规范化诊断与治疗专家共识(草案)》和2019版《中国热射病诊断与治疗专家共识》制定本指南。指南针对热射病的分型、病理生理机制、临床表现、诊断标准、鉴别诊断、治疗生命链、康复返岗和预防等8个方面,提出了25条推荐意见,以指导热射病的防治与研究工作。
【Abstract】 Treatment of Chinese PLA, and Chinese PLA Professional Committee of Critical Care Medicine[Abstract] In recent years, the incidence and mortality of heatstroke have been increasing annually alongside global warming,with a marked rise in cases exhibiting atypical symptoms. To address the increasingly complex challenges in heatstroke prevention andtreatment, Heatstroke Prevention and Treatment Research Center of Chinese PLA, Expert Group of Heatstroke Prevention andTreatment of Chinese PLA, and Chinese PLA Professional Committee of Critical Care Medicine have jointly developed this guideline(2025 edition). Utilizing the Grading of Recommendations Assessment, Development and Evaluation(GRADE) system, Appraisal ofGuidelines for Research and Evaluation(AGREE) criteria, and Reporting Items for Practice Guidelines in Healthcare(RIGHT)standards, and based on the 2015 draft "Expert Consensus on the Standardized Diagnosis and Treatment of Heatstroke" and the 2019 "Chinese Expert Consensus on the Diagnosis and Treatment of Heatstroke", this guideline has been crafted. This guideline provides25 evidence-based recommendations to guide the prevention, treatment and research of heatstroke, which thoroughly covers 8 criticaldomains: clinical classification, pathophysiological mechanisms, clinical manifestations, diagnostic criteria, differential diagnosis,treatment protocols, rehabilitation and return to work, and prevention.
【Key words】 heatstroke; classic type; exertional type; diagnosis; life chain; heat acclimation; return to work;
- 【文献出处】 解放军医学杂志 ,Medical Journal of Chinese People’s Liberation Army , 编辑部邮箱 ,2025年04期
- 【分类号】R594.1
- 【网络出版时间】2025-04-17 17:07:00
- 【下载频次】1394