Correlations of image manifestations of organ damage and clinical characteristics of heat stroke
10.13929/j.issn.1003-3289.2025.07.003
- VernacularTitle:热射病器官损伤影像学表现与其临床特征的相关性
- Author:
Qianyu HUANG
1
;
Wencai HUANG
;
Jingjing PAN
;
Shuhui PENG
;
Jiani ZOU
Author Information
1. 武汉科技大学医学院,湖北武汉 430065;中部战区总医院放射诊断科,湖北 武汉 430070
- Publication Type:Journal Article
- Keywords:
heat stroke;
brain;
viscera;
diagnostic imaging
- From:
Chinese Journal of Medical Imaging Technology
2025;41(7):1042-1046
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the correlations of image manifestations of organ damage and clinical characteristics of heat stroke.Methods Totally 46 patients with heat stroke were retrospectively enrolled.Based on the presence or absence of image manifestations of heat stroke related organ damage on head MRI and chest-abdominal CT and combined with sequential organ failure assessment(SOFA),the patients were divided into organ damage positive group(positive A,images showed clear manifeatations of organ damage and the corresponding SOFA≥2)and organ damage negative group(negative B,images showed no obvious organ damage or the corresponding SOFA＜2).Clinical data,laboratory indicators and treatment outcomes were compared between groups.Univariate and multivariate logistic analyses were used to explore the correlations of image manifestations of organ damage and clinical characteristics of heat stroke.Results Among 46 cases,26 were classified as positive group A and 20 as negative group.There were significant differences of patients' age,gender,Glasgow coma scale(GCS)and heart rate at admission,thrombin time,D-dimer,lactate dehydrogenase,partial pressure of carbon dioxide,lactic acid,myoglobin,platelet count(PLC),interleukin-6 and serum creatinine before treatment,as well as time of hospital stay and post-treatment outcomes between groups(all P＜0.05).GCS score,PLC levels and time of hospital stay of heat stroke patients were all correlated with image manifeations of organ damage(OR=0.592,0.729,1.532,all P＜0.05),among which GCS score and time of hospital stay were independently associated with image manifeations of organ damage(OR=0.607,1.448,both P＜0.05).Conclusion Image manifeations of organ damage was correlated with GCS score and time of hospital stay in patients with heat stroke.
