Advances in risk factors for onset and prognosis of physical training-associated exertional heat stroke and cooling techniques
10.3760/cma.j.cn115682-20240618-03422
- VernacularTitle:体能训练相关劳力型热射病发病和预后危险因素及降温技术进展
- Author:
Na BI
1
;
Hongyu WANG
1
;
Rongju SUN
1
;
Shibin FENG
1
;
Henan LIU
1
Author Information
1. 解放军总医院第八医学中心急诊医学科，北京 100091
- Publication Type:Journal Article
- Keywords:
Heat stroke;
Exertional heat stroke;
Heat-shock response;
Cooling technology;
Target temperature management;
Review
- From:
Chinese Journal of Modern Nursing
2025;31(11):1508-1514
- CountryChina
- Language:Chinese
-
Abstract:
Physical training-associated exertional heat stroke (EHS) is a highly lethal training injury in which early acute stress can lead to multiple organ damage in patients. This paper reviews the progress of research on physical training-related EHS onset and prognostic risk factors, and cooling techniques. Risk factors for the onset of physical training-associated EHS mainly include environment, body size, demographic characteristics, health status, and subject factors, and prognostic risk factors mainly involve systemic inflammatory response syndrome, central nervous system dysfunction, impaired intestinal function, coagulation disorders, rhabdomyolysis, myocardial injury, and hepatic impairment. Cooling techniques mainly include target temperature management, water bath immersion, ice sheet cooling, continuous renal replacement therapy and so on, which need to be applied comprehensively according to site conditions and patient characteristics.
