During the run, he suddenly fell to the ground.

● Time: June 25

● Hospital: Second Hospital of Xiamen Medical College

In the past few days, the city has continued to have high temperatures, and the city has been "smoke", and has baked a variety of "fever" such as heat stroke and fever. The reporter learned from many hospitals in our city that the number of patients with heat stroke has increased significantly recently. The most dangerous and serious heat stroke is fever. To what extent? Mr. Zhang, a patient with the second Affiliated Hospital of Xiamen Medical College (referred to as the "Affiliated Hospital"), seemed to have been scalded with internal organs. Fortunately, he has turned danger and can be discharged recently. The patient, Mr. Zhang, said: "I seem to have a dream, I just remember that I am fainted."

Live: The body temperature of the coma is 42 ℃

In the early morning of June 25th, Shi Zhennan, an emergency doctor of the second auxiliary hospital, had been treated with five or six patients with heat stroke patients. Among them, three men aged 40 are heat strokes caused by outdoor sports. The worst Mr. Zhang suddenly fell to the ground while running. The 120 who rushed to the scene immediately moved him to a cool place. Well, the doctor measured Mr. Zhang's body temperature on the spot, reaching 42 ° C, and Mr. Zhang was in a coma. 120 After sending it to the Affiliated Second Hospital, the doctor in the emergency department of the emergency department came to the consultation.

It seemed that it was a thermal radiation disease. Yan Zhenan, who came to hearing the news, immediately referred to Mr. Zhang about Mr. Zhang, and gave him a physiological saline that was lower than usual. However, Mr. Zhang's consciousness was blurred. During the CT investigation and scanning process, Mr. Zhang had restlessness and epilepsy symptoms. Each CT was scanned halfway, he couldn't help twitching, and he had no effect with sedative drugs.

Salvation: The whole body is replaced with blood 2 times

Subsequently, the intervals of severe medical medicines took over to treat Mr. Zhang. At that time, Mr. Zhang had symptoms such as coma, shock, renal function, liver function, heart function, horizontal muscle solubility and other symptoms, and were in a state of severe coagulation dysfunction. HD deputy chief physician of the secondary hospital's secondary hospital described: "His internal organs are like hot water, and the coagulation function is poor. We have bloody pouring in the place where we are left behind." After entering the ICU, the doctor passed the emergency through the urgent emergency The method of blood purification helps Mr. Zhang to cool down and maintain the internal environment, and use ice blankets and ice caps to physical cooling simultaneously. Mr. Zhang's body temperature drops between 35 ° C and 36 ° C within two hours. After using a ventilator to maintain breathing and use pressure drugs, such as a series of rescue measures, Mr. Zhang's physical condition was still poor. Especially the first three days before admission, the state of multiple organ failure was even more disturbing.

During the rescue period, the rescue team of the severe medical medical department conducted three plasma replacement of Mr. Zhang, and used about 9,000 ml of fresh plasma, which was equivalent to changing the blood of the whole body 2 times. After the rescue of the day and night, Mr. Zhang's liver function, coagulation function, renal function, and cardiac function were slowly recovered. One week after admission, Mr. Zhang gradually sober. In mid -July, he finally transferred to the general ward for follow -up treatment. At present, in addition to the mild dissolution of the horizontal muscles, Mr. Zhang's other organs' functions have recovered well.

When he woke up, Mr. Zhang only knew he fainted, and he didn't know all his subsequent rescue process. At the same time, accompanied by muscle soreness, fatigue, no appetite and other symptoms.

According to the introduction of HD, when transferring to the general ward, Mr. Zhang's various physiological indicators recovered ideal. With his own treatment experience assessment, Mr. Zhang's treatment should be recovered in a timely manner.

Analysis: It may be related to the continuous rainwater in May and June

"June 25th is the day I received the most stroke patients this year." Yan Zhennan recalled in an interview yesterday that he received 7 patients with heat stroke that day. Among them, Mr. Zhang was the most serious. Other patients were treated with symptoms, and the symptoms soon relieved.

At the end of June, the Municipal Hospital of Traditional Chinese Medicine also diagnosed a 20 -year -old patient who had stayed in the rental house for a long time. It is understood that the recent emergency department of the Second Affiliated Hospital and the Emergency Department of the Municipal Hospital of Traditional Chinese Medicine can take two or three heat stroke patients every day. Yan Zhennan said that there will be so many patients with heat stroke this year, which may be related to the rain that has been continuously continued in May and June. Everyone stays indoors for a long time, and the body is not suitable for high temperature and hot weather. The heat dissipation function has not kept up. Moreover, when the humidity is high, the body heat dissipation is slow.

[Doctor's Notes] Really "terrible" fever disease

● Deputy Chief Physician of the Second Affiliated Hospital of Xiamen Medical College HD

Thermal radiation is the most serious type of heat stroke. The core temperature of the patient's body rises rapidly, and the central nervous system abnormalities and multi -organ system damage will occur. Therefore, when patients were sent to the hospital, most of them were unclear and even nonsense. The mortality rate of thermal radiation disease is particularly high, about 70%to 80%. If the age is over 50 years old, the mortality rate is more than 80%.

Thermal radiation disease does not suddenly appear. Generally, it will experience threatened heat stroke and light heat stroke. If a lot of symptoms such as sweating, short chest tightness, shortness of breath, and weakness of the body must be treated in time to avoid deterioration. Regarding heat stroke, whether it is prevention or relief, drinking water is very helpful. However, it should be noted that in high temperature weather, it is not recommended to drink alcoholic drinks or high -sugar drinks because they may lose more water.

In addition, from 11 noon to 3 pm, it is the hottest period of the day. Everyone should try to move indoors.However, even in the room, pay attention to opening windows to ventilate, or use air conditioners and other electrical appliances to cool down.Do not ignore a high temperature environment, that is the car.In high temperature weather, parents should not let their children stay in the car alone.(Xiamen Daily reporter Liu Rong correspondent Ling Zi)

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