Seeing the case of fever, the doctor reminded ...

Author:Guangdong Provincial Hospital Time:2022.07.26

On the evening of July 16, the medical staff of the emergency department of the University of the University of the University of Traditional Chinese Medicine Hospital were busy. At this time, the ringtone of the 120 phone rang suddenly: "Hey? Some people faint? ..."

After the medical staff rushed to the scene urgently, they found that the patient was a 30 -year -old woman who was wearing a sportswear and fainted on the ground outside a university. The patient's consciousness is unclear, and it should not be shouted. After the pain and stimulation, you can open your eyes and have a response, but you cannot answer. The temperature of the touch body is significantly higher. The actual body temperature is 40 ° C!

Combined with the current high temperature weather and patients' sportswear outdoors, doctors first thought of a summer "killer" that had been seen from time to time from time to time -fever shooting disease!

After the patient was sent to the emergency department, the medical staff immediately rescued. On the morning of the 17th, patients had turned their minds, their body temperature dropped to normal, and her condition was stable.

Recently, high -temperature weather in many places across the country, from time to time, came out of thermal radiation cases. Xu Huicong, deputy chief physician of Xu Huicong, University of the University of Traditional Chinese Medicine, said: High temperature, high and humidity climate factor and high -intensity physical activity are the most important risk factor that leads to thermal radiation disease.热射病即重症中暑，是由于暴露在高温高湿环境中身体调节功能失衡，产热大于散热，导致核心温度迅速升高，超过40℃，伴有皮肤灼热、意识障碍（例如谵妄、惊厥、 The severe fatal disease of the coma) and multi -organ dysfunction is the most serious type of heat stroke. Once it occurs, the mortality rate is extremely high.

Classic thermal radiation diseases are mainly caused by high temperature and (or) high -humidity environmental factors, usually without severe physical activity. Labor fever disease develops on the disease due to high -intensity physical activity that causes heat production and heat dissipation of the body.

Common symptoms of heat irritation:

1. The body temperature rises up to 40 ° C or more;

2. Disclosure such as delirium, drowsiness, epilepsy, coma and other central nervous system dysfunction;

3. Headache, nausea, red skin, elevated skin temperature, shortness of breath, accelerated heart rate, muscle spasm or weakness and other symptoms.

Xu Huicong reminded that seeing such patients should be rescued in time, cooling the patients, and calling for emergency calls.

The following first -aid measures can be carried out on the spot:

1. Transfer the patient to a cool place.

2. Use a variety of means to cool the patients quickly. If the patient is soaked in the cold water of the bathtub; put the patient under the shower of cold water; spray it on the patient with the cold water of watering flowers; wipe the patient's body with cold water; apply cold wet towels or ice packs cold head, underarms and thigh roots; When the weather is dry, the patient is wrapped in a single or clothing in the cold water.

3. The muscles of patients with fever may occur involuntarily. In this case, avoid patients to hurt themselves. Don't put anything in the patient's mouth, don't try to feed the patient. If the patient vomits, the patient's body can be flipped to lie on the side to ensure that the respiratory tract is smooth and avoid misusure.

There is also a unique and effective way to deal with heat stroke: Chinese medicine:

1. Acupuncture treatment can be used during first aid, which is simple and fast. Acupoints: Hegu, people, Shenmen, inner Guan, point stabbing ten Xuan points (ten fingertips) and so on.

2. Chinese patent medicine: Prevent heat stroke can be used for cooling oil and wind oil essence. Those who are high -the -fever can choose Ansong Niuhuang Wan or Zixue Dan to take orally, or you can use the removal of the intravenous injection of the removal of the brain.

3. Unilateral composition: Oral watermelon juice, you can also use gypsum or talc to decoction. The key to reducing the mortality of thermal radiation disease is prevention. The most effective prevention measures are to avoid high temperature (high humidity) and non -ventilated environment, reducing and avoiding the risk factors of heat stroke, ensuring sufficient rest time, and avoiding the occurrence of dehydration, thereby reducing the incidence and mortality of thermal radiation. In this regard, Dr. Xu suggested:

1. Reasonably arrange work and outdoor activities. Avoid strong labor activities during high temperature hours, it is recommended to go out in the morning and evening. When going out, we should take sunscreen measures, such as applying sunscreen, wearing sunglasses, parasols, hats, wearing light -colored, breathable clothing, etc., which can slow down thermal absorption.

2. Pay attention to replenishing water and electrolytes, especially drinking plenty of water when sweating. Suitable for drinking watermelon juice, herbal tea, mung bean soup, etc. The vegetables and fruits suitable for eating are: lotus root, lotus seeds, lily, cucumber, watermelon, bitter gourd, tomato, fungus, lentils, mung beans, celery and tofu.

Dr. Xu reminded that when the hot and sweaty state suddenly entered the air -conditioned room to blow the cold wind, or immediately took a cold bath, and to eat a lot of cold drinks, etc., it would cause the original opening skin pores, the conditioned reflex contraction, and the summer dampness. Qi is trapped in the body, and the body is difficult to dissipate heat, which will cause another type of heat stroke.