关键词: 中暑, 多器官功能衰竭, 横纹肌溶解, 连续性肾替代疗法, 多学科诊疗

Abstract:

The exertional heat stroke is one of the severe types, and it often occurs in people who engage in high-intensity training or heavy physical labor in high-temperature and high-humidity environments. This article retrospectively analyzed the clinical data of a patient with exertional heat stroke combined with multiple organ dysfunction syndrome. By adopting the multi-disciplinary treatment (MDT) model, the ICU organized neurology, nephrology, respiratory medicine, gastroenterology and cardiovascular medicine departments to provide assistance and participation. After the patient received rapid cooling, sedation, hemodialysis, fluid replacement, supplementation of coagulation factors, control of intracranial pressure, tracheal intubation and ventilator-assisted ventilation, anti-infection and other active treatments, the patient's condition improved and was discharged from the hospital after one month of in-hospital treatment. Two weeks after discharge, the patient returned to the outpatient clinic for a follow-up visit. The doctor provided guidance on medication and self-care measures. After one month of treatmemt, all the abnormal laboratory indicators caused by heat stroke returned to normal. The application of MDT strategy can effectively improve the prognosis of patients with exertional heat stroke combined with multiple organ failure.

Key words: heat stroke, multiple organ failure, rhabdomyolysis, continuous renal replacement therapy, multi-disciplinary treatment