Extreme weather "high fever" does not retreat to be vigilant

Since July, Jiangsu has continuously appeared in extreme high -temperature weather with a long duration, wide coverage, and large -scale affecting the surface. The extreme temperature "high fever" has led to some "fever" heating up. High temperature weather with more than 40 ° C for many days has allowed the emergency room and 120 emergency center of Nanjing to usher in the busiest "roasting" time of the year. The outpatients and emergency departments of various hospitals have strengthened their strength.

Major hospitals, ushered in the busiest moment

At nearly 6 pm on August 8th, the outpatient room of Jiangsu Traditional Chinese and Western Medicine Hospital was still busy. Doctors and nurses were in a hurry, and various emergency patients were sent in from time to time. "In the past week, the beds in the rescue room are full of daily beds, basically they are overloaded." Lu Jian, the head of the emergency department of the hospital, told reporters that there are many patients with heat stroke, cardiovascular and cerebrovascular diseases, and trauma. In addition, patients with fever and diarrhea are more than usual.

Lu Jian told reporters that three patients with heat stroke were rescued within two days of the weekend, the largest 58 and the youngest 38 years old. They are all outdoor operators. "Zhang, a 38 -year -old patient, had worked for more than two hours at noon at noon. Later, dizziness, headache and vomiting 3 times, the worker sent him to the hospital." Lu Jian said, another 58 -year -old who was 58 -year -old. The uncle was also for several hours for outdoor homework. It was not until the symptoms of heat stroke coma later before being sent by the workers. The situation was very dangerous when it came. Fortunately, several patients turned in danger after rescue.

In the past week, the daily visits of the emergency department of Nanjing Gulou Hospital exceeded 700 people, 20%more than usual, and up to 860 person -times a day. To this end, the hospital arranged enhanced classes for emergency department to deal with emergencies in extreme weather. Shen Ping, a nursing nurse in the emergency rescue room of the hospital, said that last week's emergency department took a total of 19 heat stroke patients.

The outpatient room of Jiangsu Provincial People's Hospital is also busy. Lu Shan, deputy director of the outpatient center of the hospital, introduced that the hospital took an average of 18,000 patients per day, and a maximum of more than 20,000 people came, which was much higher than the same period last year. There are many patients such as cardiovascular and cerebrovascular disease, fever, and myocardial infarction. In order to cope with the "turbulent" traffic, the hospital specially assigned more than 40 administrators to support outpatient clinics.

"Since entering the extreme high temperature weather, the workload has increased significantly. To this end, all the nurse in our emergency room have canceled their vacations, and even the break cannot be guaranteed. Li told reporters that in the past week, the number of emergency diagnosis has exceeded 800 person -times, which is about 200 more than usual. "Although there are air conditioners in the emergency room, everyone is often sweating, and one shift is soaked."

According to the provincial meteorological department, the highest temperature record of this summer is Yixing City, reaching 41.3 ° C, breaking the highest temperature extreme value since 1961. Therefore, there are also many local heat stroke patients and fever. This summer's "extended version" is extremely rare, and this situation will last at least a week. Doctors remind that elderly people, pregnant women, weak and sick people, and infants should pay special attention to high temperature -related diseases.

So, what diseases should be prevented by extreme high temperature weather? Expert reminder--

"Hot Dead" is not a joke

"Hot Dead" is not a joke. "Thermal radiation disease is the most dangerous and serious type of heat stroke, with a high rate of mortality. The elderly, pregnant women, 0-6 years old infants, and outdoor operators are high temperature and susceptible people. Pay particular attention to prevent heat stroke and prevent heat stroke and Heat irritation. "Zhong Pinki, deputy director of the critical illness center of the Zidong Hospital of the Provincial Hospital of Traditional Chinese Medicine, reminded that thermal injection disease is a serious fatal disease caused by thermothery factors to the body. Common diseases of activities such as high -intensity labor and other activities.

"There are generally some symptoms before heat stroke, such as feeling fatigue, dizziness, palpitations, etc., sweating a lot, we need to immediately transfer to a cool environment, take a physical cooling method, apply cold towels, and give some saline to maintain electrolytes The balance. "Shen Jianjun, director of the Traditional Chinese Medicine Department of the Traditional Chinese Medicine Department of Nanjing Second Hospital, suggested that once the patient's heat stroke is considered, the patient should be transferred to the cool room immediately to quickly cool the patient. "If the patient is soaked in the cold water of the bathtub; puts the patient under the shower of the cold water; spray it with the cold water of the flowers on the patient. If it does not improve, it needs to be sent to a nearby hospital for treatment as soon as possible.

The muscles of patients with fever may have unsteady convulsions. In this case, avoid patients to hurt themselves. Experts remind you not to put anything in the patient's mouth, don't try to feed the patient. If the patient vomits, the patient's body will lie on the side to ensure that the respiratory tract is unobstructed and avoid accidental inhalation. "High temperature weather, not strenuous exercise, it is best to choose outdoor sports in the morning and evening, such as walking, playing Tai Chi, Eight Duanjin, Swimming, etc. You can also choose to take your eyes closed and calm down. pressure."

Blood vessels should also "cool down" in time

The temperature change is the "enemy" of the cardiovascular and cerebrovascular. Studies have shown that under high temperature weather above 35 degrees Celsius, cardiovascular and cerebrovascular disease mortality will increase significantly. According to the chief expert of the Neuro intervention group and chief physician of the Department of Neurology, the chief physician of the neurological intervention group of the Provincial Traditional Chinese Medicine Hospital introduced that although the stroke was high in autumn and winter, in the summer, due to high temperature, the blood vessels were reduced due to the imbalance of electrolyte regulation, and the blood would become sticky. There is a possibility that plaques or thrombosis may cause cerebral infarction. Therefore, the stroke is still a "peak period" in summer, and the prevention of stroke cannot be ignored. "Continuous high temperature will cause a large amount of sweat of the body and seriously consume the body fluid. If there is no water replenishment, the blood will be concentrated, the blood flow becomes slow, and it is easy to form thrombosis." Zhou Jinyi explained that if the thrombus blocks the neck arteries of the nutrient brain, the brain will occur with ischemia.

Li Min reminded that such as chest tightness, chest pain is accompanied by sweating, nausea, vomiting, and even dying, or combined with pharyngeal discomfort, tightening, etc., it is a warning of myocardial infarction. It is best to rest on the spot and call 120 in time. "It is worth noting that heat stroke also has chest tightness, but the symptoms are often mild, and acute myocardial infarction is sudden chest pain and severe pain."

How to prevent cardiovascular and cerebrovascular diseases in high temperature days? "The weather must pay attention to replenishing more water, but not to drink a lot of water until thirst, but to be a few times. Secondly, you should try to avoid the temperature of the air conditioner in a sudden and cold environment." Li Min said that it is necessary to pay attention to the control of basic diseases. The diet should be as light as possible, eat less high -fat food, pay attention to regular schedules, quit smoking and alcohol, stay up late, and prevent heatstroke and cool down.

Beware of the "illusion" of high blood pressure in summer

High temperature and heat, middle -aged and elderly people are prone to arrhythmia and increased blood pressure. Sudden cold and heat can easily relax the brain blood vessels. Elderly people with cardiovascular and cerebrovascular diseases are prone to dizziness, headache, and numbness of the limbs. In the general cognition of the public, the hot blood vessels expanded in the summer, and sweating will cause blood volume to decrease, and the blood pressure will decrease. Therefore, many patients mistakenly think that their "hypertension heal" is often reduced, and often reduces the medicine or reduce the medicine or Discontinue drugs. As everyone knows, these behaviors are dangerous and often bring unpredictable harm to patients.

"Human blood pressure changes in the rhythm of day and night in the summer: the hot blood vessels expanded during the day, and the blood volume of sweating is reduced, the blood pressure is relatively reduced, and the blood pressure of patients with high percentage will increase at night. This kind of day and night blood pressure fluctuates It will cause greater damage to the important target organs of the body (such as the brain, heart, and kidney). "Liu Ming, executive director and deputy chief physician of the Hypertension Research Institute of Jiangsu Provincial Hospital of Traditional Chinese Medicine, reminded.

Settled drugs at will, one will cause blood pressure fluctuations and increase the risk of cardiovascular and cerebrovascular events. Stablize. Liu Ming emphasized that the adjustment of patients with hypertension in the summer should be adjusted under the guidance of the doctor, under the results of the home blood pressure monitoring, and the dynamic blood pressure monitoring if necessary, reasonably adjust the types and dosage of antihypertensive drugs, and avoid minusating and stop without authorization. "It is recommended to choose a long -acting antihypertensive drug to better control the at night's blood pressure. Generally speaking, patients with hypertension can appropriately reduce the dose of medication in the summer. After the blood pressure decreases, the maintenance amount can be used. Monitor the home blood pressure or regularly perform dynamic blood pressure monitoring. "

"Sugar Friends" requires summer blood glucose management

Diabetes patients often have a large blood glucose level in summer, which is related to reduced exercise, no appetite or cold drink, and emotional irritability. "Patients with diabetes should be stabilized in summer, so that the complications of diabetes will not come." Li Tonghuan, deputy chief physician of the Department of Endocrinology, Nanjing Second Hospital reminded.

Due to the large consumption of the body in summer, patients with diabetes often find that summer blood sugar is often lower than other seasons. "Although the blood glucose level is relatively low in summer, patients with diabetes must not stop or reduce the medicine at will. They must adhere to the use of accidents or worsen the condition. Perform it. "Li Tonghuan reminded that he must insist on monitoring blood sugar and pay attention to prevent hypoglycemia. "First, we must adhere to the regular meal and do not reduce the staple food at will; the second is to flexibly adjust the amount of hypoglycemic drugs according to the monitoring of blood sugar. Each monitoring result should also be recorded in detail as the basis for evaluating the disease and guiding medication. "

Patients should carry sugary foods when they go out, such as candy, chocolate, biscuits, etc. to prepare from time to time. On the other hand, medicines should be stored in a cool place. The summer climate is hot, and insulin is preferably stored in the refrigerator of the refrigerator. "In patients with insulin diabetic patients traveling, if the condition allows, you can temporarily use oral hypoglycemic drugs to replace insulin under the guidance of a doctor. Do not put insulin in the trunk of the car or placed in a direct sunlight. "

Xinhua Daily · Jiaojiao Reporter Wang Tian Jiang Mingrui Zhong Chongshan

Intern Wang Mengyi

- END -