Discussion on the treatment of heat stroke complicated with multiple organ dysfunction syndrome using circulating fluid replacement
10.3760/cma.j.issn.1672-7088.2020.02.005
- VernacularTitle: 热射病合并多器官功能障碍应用循环补液的护理对策及疗效
- Author:
Wei LI
1
;
Yadan LUO
;
Hong LI
;
Li DONG
Author Information
1. Department of Nephrology, Key Laboratory of Metabolic Disease of Guangxi, Guilin No. 924 Hospital of People Liberation Army of China, Guilin 541002, China
- Publication Type:Clinical Trail
- Keywords:
Heat stroke;
Multiple organ dysfunction syndrome;
Circulating fluid replacement;
Nursing care
- From:
Chinese Journal of Practical Nursing
2020;36(2):104-108
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the nursing strategy and curative effect for two kinds of circulating fluid replacement in the treatment of heat stroke (HS) with multiple organ dysfunction (MODS).
Methods:The nursing data for 32 patients with HS were analyzed retrospectively. 17 patients of group A were treated with "spend-and-tax" of circulating fluid replacement. 15 patients of group B were treated with conventional fluid replacement. The rehydration fluid was 5% glucose (500ml) and Ringer′s solution (500ml). If necessary, the potassium should be supplemented. The last, to observe the effect of "spend-and-tax" on the outcome of comprehensive treatment of HS combined with MODS.
Results:17 patients (group A) were all cured. During treatment, water, electrolyte and acid-base balance disorders did not occur. Comparing with the 15 cases (group B) treated for conventional fluid replacement at same time, the temperature (T), heart rate (HR) were significantly improved (t=-7.453-7.632, all P<0.05), the arterial blood pressures (ABP) were significantly increase (t=-7.896--3.326, all P<0.05).
Conclusions:Using the model of "spend-and-tax" fluid replacement can obviously improve the function of liver and kidney, reduce the injury of myocardium and skeletal muscle, improve prognosis, and decrease the mortality rate on patient suffered HS complicated MODS. It was an important content of nursing work that observing and nursing water、electrolytes for patients with HS and MODS.
