An uncle in Beijing exposed to the heat of fever in the sun. How dangerous is this disease?

[#【【【【【【【【【【【#, How dangerous is this disease? Reporter visited the clinic] In the past few days, high -temperature weather in various places has "long standby", and there are cases of medical treatment due to heat irritation, and the topic of "thermal radiation" has frequently appeared on the hot search. After entering the capital, the emergency department of major hospitals also experienced the test. What is thermal radiation disease? What is the difference between heat stroke? What are the cases need to seek medical treatment in time? How to prevent ... Recently, the reporter visited the emergency department of China -Japan Friendship Hospital.

Continuous high temperature weather, many elderly patients were rushed to the China -Japan Friendship Hospital for rescue

Typical fever

The old man suddenly fainted for an hour and suddenly fainted

In the ward of the rescue observation area of ​​the emergency department of the Sino -Japanese Friendship Hospital, a thin old man was lying on the bed, wearing a ventilator, and an intravenous infusion tube in his hand, his expression was stunned.

"Uncle, can you hear me talking? How do you feel now?" Gu Chengdong, deputy director of the emergency department, asked patiently by the bed, and the old man nodded slowly. "What is your name? How old is you? Remember to live at home? ..." Then, Gu Chengdong asked a few small questions. The old man muttered, and a few simple words popped up in his mouth. Seeing that the old man responded to his question, Gu Chengdong's heart was put down halfway. Ten days ago, when the old man was just sent to the emergency department, he was still vivid.

In the afternoon of a high temperature, the 69 -year -old uncle Wang was accompanied by his family and sent the ambulance to the emergency room. "At that time, the old man's body temperature was as high as 40 degrees Celsius, his body twitched, his consciousness was unclear, and he had entered a state of coma." Gu Chengdong recalled. According to the family members, Uncle Wang suddenly twitched when he set up a grape stand in the vegetable garden, and then lost consciousness and fainted to the ground.

Due to the critical condition of the patient, he and his colleagues immediately conducted various inspections on Uncle Wang. The elderly's pupils performed normally, and there was no obvious neck rigidity on the neck. The CT examination did not find acute cerebral hemorrhage or large -scale cerebral infarction. However, the elderly have symptoms of hypoglycemia. "In the process of sugar, the patient's blood sugar correction is more difficult. After repeated communication with their families, the elderly did not have basic diseases such as cardiovascular and cerebrovascular diseases and diabetes, nor have they taken hypoglycemic drugs or injection of insulin.

During the inspection, one indicator attracted Gu Chengdong's attention. "The liver function indicators of the elderly have increased significantly, and liver enzymes continue to rise. This situation is more common in heat stroke." He explained that at the same time, patients had damaged renal function and accompanied by muscle dissolving. According to the elderly's organ failure, he initially judged that the elderly had fever.

When the patient's family mentioned that Uncle Wang had had Parkinson's disease, Gu Chengdong suddenly realized that he might be affected by Parkinson's disease. Uncle Wang's reaction became dull and his sensitivity to the environment decreased. "The old man exposed to the poisonous sun for more than an hour, unknowingly heat stroke, which led to fever," he said.

The first step of treatment is to cool down. Gu Chengdong and his colleagues carefully placed Uncle Wang on the ice blanket, found a lot of ice packs, applied the old man's whole body, and wiped the body with ice water and alcohol to physical cooling. "Due to the damage to the function of the elderly's multiple organs, we also injected him low -temperature physiological saline to quickly reduce the core temperature, remove the metabolites caused by heat damage in the body, and recovery the heart, liver, brain, kidney and other important organs. It has a great role. "Gu Chengdong said that at present, Uncle Wang’s life signs have stabilized, and various indicators such as renal function and liver function have improved significantly, but there are still symptoms such as slow response and unspoken limbs." It may be related to the slower clearance of metabolites, which has a certain impact on the patient's brain function. "

Labor fever

Continuous high -temperature operator life hangs one line

In addition to patients like Uncle Wang, the Department of Emergency Department of the China -Japan Friendship Hospital also admitted to patients with labor -type thermal radiation.

Speaking of the patient's rescue process, Du Tao, deputy nurse of the emergency department, used "thrilling" to describe. At 21:00 one night, a construction worker who had been unconscious was sent to the emergency department by the workers and his family members, and Du Tao took the consultation with the doctor in the same class. After examination, the patient's underarm temperature has reached 41 degrees Celsius, and the core temperature of the body may be higher. "Patients with both pupils have weak light reflexes, and they have been vomiting more than before ..." The atmosphere in the rescue room suddenly became nervous.

"It is likely to be a thermal ejaculation!" According to the information provided by the workers and their families, the patient worked for more than 10 hours in high temperature weather before coma, and the history of the previous health and the history of no special toxicity, combined with his injection, sprayed him The clinical manifestations of sex vomiting and diarrhea, headache, high fever, etc. The doctor judged the patient's condition, but it could not completely rule out intracranial infections and poisoning.

"Patients are hanging a line. What we have to do is cool down and infusion, and you need to cooperate with all your efforts!" Du Tao, who was exposed to overheating ejaculation when he joined the job, was experienced. She first asked her relatives and friends to take off her clothes, put it into a "big" shape, fully exposed the skin, lowered the air -conditioning temperature, and called the ice blanket to the emergency monitoring room. Before the ice carpet was delivered, the cooling was urgent. Du Tao first used the only ice cubes to cool down the patient's head to protect the brain tissue. Patients are applied to rubbing.

Under the guidance of Du Tao, the patient's relatives and friends brought ice packs, and some even found ice cubes from the fast food restaurant opposite the hospital. Put these ice packs on the general blood vessels such as the axillary, neck, and thighs of the patient, and then the patient's workers use more ice packs to cover most of the patient's exposed skin. After nearly half an hour of physical cooling, the patient's underarm temperature had dropped to 39.1 degrees Celsius. In the process of physical cooling, treatment and other treatment began to be implemented. The cooling of the drugs gradually developed, and at the same time, it was used to reduce the intracranial pressure with drugs. The patient gradually stopped vomiting, and his hands and feet began to have independent activities. When the patient was transferred to the intensive care unit, the anal temperature was controlled to 38.5 degrees Celsius, and the consciousness had begun to show signs of recovery. The pupil reflection also resumed sensitivity ... Watching the water on the water on the bed, the packaging bag of the sputum pipe, and the scattered scattered on the ground on the ground Du Tao and his colleagues were relieved.

After the rescue of the emergency department and the intensive care unit, 10 days later, the patient was discharged from the hospital.

In the hot summer, the Sino -Japanese Friendship Hospital Emergency Department of the Emergency Department was busy

Tips:

How to prevent heatstroke and cool down from experts

Since July, Beijing has continued to have high temperatures, and there have been many patients with "high temperature diseases" such as heat stroke and cardiovascular and cerebrovascular diseases in the emergency department of China -Japan Friendship Hospital, and the number of visits has also increased by nearly 20%.

The heat waves are coming, what is the frequent heat search of hot search? Gu Chengdong introduced that thermal radiation disease is the most serious situation in high temperature -related emergencies, that is, severe heat stroke; once it occurs, the mortality rate is extremely high. With the improvement of production and living conditions and the enhancement of public awareness of prevention, in fact, the number of patients with heat ejaculation patients in the hospital has continued to decrease in recent years. Causes of patients with ejection disease.

The disease of thermal radiation is mainly exposed to the imbalance of the body's body regulation in the high temperature and high humidity environment. The heat production is greater than the heat dissipation, resulting in the rapid increase in the core temperature, and the internal organs have "fever". "Once the body temperature rises, the central system will be adjusted immediately, which will cause organs intoxicating, leading to organ failure, and threatening life." Gu Chengdong said that rising body temperature and functional dysfunction in the central nervous system are the main features of thermal irritation. The core temperature of the patient is more than 40 degrees Celsius. In the early stage, delirium, drowsiness, epilepsy, coma, etc. can be appeared. Some patients can leave long -term central nervous system damage in the later period. Language disorders, raidiating disorders, etc., other symptoms include headache, nausea, red skin, elevated skin temperature, rapid breathing, accelerated heart rate, muscle spasm or weakness.

Patients with fever are divided into typical and labor types. Classics usually do not have severe physical activity. Labor types are mainly due to high -intensity physical activity that causes heat production and heat dissipation of the body. What should I do if I find patients with heat irritation? Gu Chengdong introduced that first of all, the patient should be separated from the heat source, transferred it to a cool place in time, and quickly adopted various methods to reduce the body temperature of the patient. The simplest and most direct is to wipe the patient's body with flowing cold water and wet towels to cool down the patient. "Especially where the arterial artery flows, such as the neck, the root of the thighs, or under the armpit." He also reminded that the muscles of patients with heat irritation may occur involuntarily. Don't put anything in the patient's mouth, don't try to feed the patient.

There are four types of people in life who are high -risk groups of thermal ejaculation. They must be particularly careful: the elderly who have insufficient body temperature regulation and accompanied by basic diseases; the development of body temperature regulation center is not complete, and the speed of body temperature rises is 3 to 5 of adults. Puchants; personnel who need to be at high temperature environment for a long time, such as outdoor traffic police and epidemic prevention personnel; personnel who perform strenuous exercise at high temperatures, such as firefighters, construction workers.

"High temperature weather, a series of physiological function changes may occur in the human body. There is danger of life. "Gu Chengdong reminded that high temperature and heat, old people, children, etc. should drink more water and avoid going out when the temperature is high. In addition, the elderly do not like to turn on the air conditioner, the environmental temperature and humidity are high, and it is easy to heatstroke. Children should try to help the elderly in advance for various heatstroke and cooling work. Take the doctor as soon as possible. As a high -risk group of thermal radiation, outdoor workers should pay attention to avoid operations at high temperatures for a long time, adjust the working hours appropriately, and replenish water in time, and prepare saline and ice cubes in advance if necessary. If the symptoms of heat stroke, be sure to deal with it in time, transfer to the cool place, reduce the body temperature, and the severe case should be medical treatment immediately. @习 Li Qi Yao Intern reporter Chai Yan

Source: Beijing Evening News Weibo

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