Can you get "fever" at night?Doctor: It should be vigilant for a long time in high temperature, high humidity, and closed environment

Since the summer of this year, with the continuous high temperature and humidity of various places, the term "thermal radiation disease" has also frequently entered the public vision. Many people think that thermal ejection disease occurs when it is hot during the day. Essence

Recently, 41 -year -old Mr. Liu fell asleep in the shed at night. I did not expect that there were symptoms such as unclear consciousness and high body temperature. Acute damage to the function of multiple organs such as kidney. The Department of Emergency Medicine and Critical Medicine of Xi'an International Medical Center Hospital (2) All medical staff are rescued. At present, Mr. Liu's various vital signs are stable.

"Doctor, save him, why do you get like this one night?" At 6 am on August 9th, the workers would take a deep coma and 42 ° C to the Xi'an International Medical Center Hospital. "It was okay when I did it during the day the day before. I didn't turn on the air conditioner in the working shed at night. As a result, when I called him this morning, people were unconscious.

Through the physical history and inquiring the medical history, the doctor considers Mr. Liu's coma and shock caused by thermal radiation disease. The Department of Emergency Medicine immediately gave ice water cooling, brain protection, emergency tracheal intubation, ventilator auxiliary breathing, sedation, symptomatic electrolyte, etc. , Later, transfer to the Department of Severe Medicine (2) further treatment.

Pathopathy, lung infection, metabolic acid poisoning, myocardial damage, renal injury, diarrhea muscle solubility, abnormal coagulation function, electrolyte disorders ... In view of Mr. Liu caused the brain, heart, lung, liver, kidney, kidney, and kidney For the damage of multi -organ function, Zhang Qi, director of the Department of Critical Medicine (2), immediately led the team to treat him. Use the sub -low temperature brain protection (ice blankets, ice caps of 32-35 ° C), deep sedative and analgesic, emergency CRRT treatment (liver protection and kidney), capacity resurrection, and symptoms such as coagulation dysfunction, low blood pressure shock and other symptoms. Expand the symptomatic treatment.

On the third day, the medical staff finally pulled Mr. Liu from the ghost gate of "thermal irritation". At present, the patient's various vital signs are stable (monitor display). Symptoms are significantly improved, and monitoring indicators of liver and kidney, heart and coagulation function have also improved significantly. "Next, we will strengthen further treatment of anti -infection, awakening, and increased nutrition, and we look forward to the patient's recovery as soon as possible." Director Zhang Qi said.

Since the summer, news that is admitted to the hospital for fever, coma, and even death is not uncommon. What is the origin of "fever"? How can we prevent and rescue on -site? Popularly speaking, fever is the most dangerous and serious heat stroke. Thermal radiation disease causes the body's body temperature regulation functional disorders in a high -heat and humidity environment, causing excessive heat accumulation in the body, which causes damage to neurotrans. During the timely treatment A variety of organ failure, etc., endanger life. According to statistics, the mortality rate of thermal irritation can be 50%.

There are two important aspects of thermal radiation disease. One is to question the medical history. It has been working, exercise, or waiting for a long time in an environment of high temperature, high humidity, and turbine. After the brain is damaged, conscious disorder, such as irritability, nonsense, and severe manifestations of convulsions, coma, shock, etc.

The doctor said that once someone was found to have fever, the most important thing was to cool down. The patient was transferred to a cool and ventilated place for the first time, soaked and scrubbed the body with ice water of 0-4 ° C. If the patient's consciousness is clear, you can also drink a large amount of water at 0-4 ° C to quickly cool down. At the same time, you should call 120 immediately.

Director Zhang Qi suggested that high temperature and hot weather should be reduced as much as possible under the direct sunlight. At the same time, the room should be opened and ventilated as much as possible to open the fan and air conditioner to cool down. In addition, to ensure sufficient water and supplement the body needs in time. For example, when dizziness, fatigue, mental stubbornness, severe thirst, and sweating in high temperature environments, they should be transferred to the cool environment as soon as possible, and drink more drinks or water containing salt to avoid developing items.

Text/Xi'an Newspaper Medical Health Care Division Wang Fantu/Provided by the hospital interviewed hospital

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