MedJChinPLA,Vol.48,No.8,August28,2023军事训练防治中暑/热射病降温方法专家共识全军热射病防治专家组[中图分类号]R594.1[文献标志码]A[DOI]10.11855/j.issn.0577-7402.1888.2023.0105[声明]本文所有作者声明无利益冲突[引用本文]全军热射病防治专家组.军事训练防治中暑/热射病降温方法专家共识[J].解放军医学杂志,2023,48(8):871-878.[收稿日期]2022-09-08[录用日期]2022-09-17[上线日期]2023-01-05[摘要]在军事训练中，当生理热应激负载过度不能被及时纠正时，可发生中暑，严重者可发生劳力型热射病，这将严重影响部队战斗力。快速、有效、持续地降温是缓解过度热应激反应，防治中暑及热射病的关键措施。全军热射病防治专家组基于近十几年来的临床实践经验以及在中暑防治领域的研究成果，结合国内外最新证据，对军事训练全过程中的体温监测、预防性降温策略、治疗性降温策略等进行总结，并广泛征求了军内急诊及危重症专家意见，形成本共识，以期为军事训练中实施切实有效的温度管理提供指导。[关键词]军事训练；中暑；热射病；降温；共识Expertconsensusoncoolingmethodsforpreventingheatillness/strokeinmilitarytrainingExpertGroupofHeatStrokePreventionandTreatmentoftheChinesePLAThisworkwassupportedbytheSpecialTaskofMilitaryHealthandEpidemicPrevention(22FYFH11),andtheMilitaryMedicalInnovationProjectFund(18CXZ019,18CXZ024)*Correspondingauthor.NingBo,E-mail:ningboicu@163.com;SongQing,E-mail:songqing301@sina.com[Abstract]Inmilitarytraining,whenthephysiologicalheatstressloadisexcessiveandcannotbecorrectedintime,heatillnessmayoccur,andinseverecases,exertionalheatstrokemayoccur,whichwillseriouslyaffectthecombateffectiveness.Rapid,effectiveanduninterruptedcoolingisthekeymeasuretorelieveexcessiveheatstressreactionandpreventheatillness/stroke.Basedonnearly10yearsofclinicalpracticeexperience,thescientificresearchachievementsinheatstrokepreventionareas,aswellasdomesticandforeignlatestevidence,ExpertGroupofHeatStrokePreventionandTreatmentoftheChinesePLAsummarizedthetemperaturemonitoring,preventiveandtherapeuticcoolingstrategiesinthewholeprocessofmilitarytraining,andwidelyconsultedtheopinionsofemergencyandcriticalcareexpertsinthemilitary,andfinallyformedth...
