Two consecutive cases!The body temperature is 41.8 ℃, 41.1 ℃, the consciousness is unclear!These types of people must be careful about high temperature days ...
Author:Hangzhou.com Time:2022.07.12
Recently, the weather in Hangzhou can only be described in one word, that is -hot! hot! hot!
The Hangzhou Meteorological Observatory released today at 9:58, and the high -temperature red warning signal, which has also released the earliest high -temperature red warning since there are historical records.
At present, "the temperature is high, the sun is poisonous", it is very easy to heatstroke for a long time. Some people want to go out less and take less sun. Is it okay to stay at home? But as a result, he not only fainted himself, but also lived in the rescue room of the Third People's Hospital of Hangzhou.
Two cases in two days, 41.1 ℃, 41.8 ℃,
They are so hot that they are so hot ...
Uncle Ge (pseudonym) is 75 years old and is an old Hangzhou. He lived alone for a lifetime. Even if he had high temperature recently, he insisted on not opening the air conditioner during the day, and only "cool" when he slept at night.
But on the evening of July 8th, when the neighbor and chess friend Hao (a pseudonym) came to the chess daily routine, he found that Uncle Ge was lying in the rattan chair across the anti -theft gate. no response.
With the help of the community, Uncle Ge was sent to the emergency department of Hangzhou Third People's Hospital. After the consultation, the hospital's emergency team found that Uncle Ge was in a coma, his body twitched, his face was pale, his body temperature was as high as 41.1 ° C, his heartbeat was very fast (about 130 times/minute of heart rate), and his blood pressure was very high (160/100mmHg). What is even more worrying is that Uncle Ge suddenly appeared incontinence and full -body convulsions.
The emergency team immediately opened vein supplements, ice blankets to cool down for rescue, and tested blood routine, liver and kidney exercises, blood gas analysis, and coagulation functions. After rescue, Uncle Ge's condition gradually became stable in the middle of the night, and there was no danger of life.
Just at 4 pm today, the hospital emergency department received another patient with severe heat stroke.
Grandma Wang (pseudonym) in his 70s suddenly fainted on the side of the community. Fortunately, the neighbors on the road were sent to the hospital in time. During the emergency department, she also had symptoms such as accelerated heart rate and incontinence of urination, and was diagnosed with severe heat stroke (thermal failure). At present, after rescue, Grandma Wang has resumed consciousness, is out of danger, and is undergoing further treatment.
Symptoms of heat stroke are not typical,
But it may cause damage to the whole body!
With the advent of high temperature, the number of patients with heat stroke accepted by emergency treatment also increased significantly, most of which were light to moderate heat stroke.
But many of them came to the emergency department. Director Zhou Yidan, the emergency department, introduced that this is because the heat stroke performance is not necessarily typical. It may be mild dizziness, headache, dazzling, nausea, vomiting, and shortness of breath. Increasing, it may also be muscle spasm, cold skin and paleness, and syncope.
The picture shows patients who rescue severe heat stroke caused by the emergency team caused multiple organ failure
Zhou Yidan explained that in high temperature environments, a large amount of sweat consumes the water and salt in the body, the body will dehydrate, and the body fluid, salt and blood capacity inside the body will be reduced. The lack of blood supply to the body's muscles, brains, and other main organs will manifest different symptoms from mild to severe.
The lightest is threatened heat stroke. Patients often sweat a lot. They feel dizzy, dazzling, weak, nausea, panic, shortness of breath, inadequate attention, orientation force disorders. The body temperature is often lower than 37.5 ° C. When leaving the high -temperature operation environment into a cool and ventilated environment, it can return to normal in a short time.
No matter how strict the focus is, it is mild heat stroke: In addition to threatened symptoms, some patients show that the body temperature rises to above 38 ° C, the skin is hot, the complexion is red, the complexion is pale, the skin is cold, the pulse is weak, and the blood pressure decreases.
The most serious situation of heat stroke is severely heat stroke. This type of heat stroke can be divided into four types: heat spasm, thermal failure, sunrochem, and thermal irritation. If it is not treated in time, it will endanger life.
Once patients with ordinary heat stroke appear high (above 41 ° C), sweatless, and consciousness, pay special attention. Please send the doctor in time, don't delay!
Doctor: These types of people are more prone to heat stroke!
Learn the key 3 steps for treatment, and there is no preparation!
Zhou Yidan reminded that in addition to outdoor workers, the elderly, children, pregnant women, and people with poor heart function are more likely to occur, because these people have a worse body temperature adjustment function, and it is more likely to ignore some symptoms that occur during heat stroke.
If you suspect heat stroke, these three steps are important:
Take off, bring the patient away from the high temperature environment, and place it in a cool and ventilated environment. It is best to unbutton the collar and the belt to speed up the cooling.
Temperature reduction, use cold towels, cold water, etc. Posted on the patient's skin. If you use ice cubes, you should prevent frostbite. As for the part, the chest, back, thighs, elbows are better, and it is forbidden to place it on top of the head, feet, abdomen, etc. In the process of ice, pay attention to prevent frostbite.
If the patient is conscious, you can supplement some liquids in an appropriate amount, but do not pick up the water bottle and irrigate him! During the heat stroke, the rapid and large amount of water intake can cause excessive reflexive sweat, aggravating water and salt loss.
Small post: This is important for preventing heat stroke!
High -temperature days, please drink less these common drinks!
Prevention is a good recipe for avoidance. Zhou Yidan summarizes the following points for everyone:
A small amount of drinking water is appropriately supplemented with electrolytes. Don't wait until thirsty before drinking water, drink 1.5 to 2 liters of water every day.
When sweating more, you can choose drinks such as salt soda, barley tea, mung bean soup, or appropriate amount of sports drinks to help supplement the salt and minerals needed for the body.
If you need to do physical labor or strenuous exercise in a high temperature environment, drink at least 2 to 4 cups of water (500 ~ 1000ml) at least an hour, and the water temperature should not be too high. Reduce coffee such as coffee and other exciting drink intake. Such beverages often contain caffeine, which can make people excited and accelerate heart rate, which is more harmful to people with heat stroke signs.
At the same time, do not drink alcohol or a lot of sugar drinks to avoid drinking too much frozen drinks.
Ensure sufficient nutrition and sleep. In high temperature environments, people need enough calories to supplement protein, vitamins, and calcium, but please keep as light as much as possible, eat less high -oil and high -fat foods to reduce the burden on the body. Eat more fruits and vegetables. Ensure enough sleep. Avoid direct blowing or air -conditioning when sleeping.
Avoid learning, activities and work under the scorching sun or high temperature environment for a long time. If it is not avoided, it is best to avoid the noon period, try to arrange the time in the morning or evening, and try to move or rest in the shade as possible to avoid the sun. Try to choose light, loose and light clothes. Do a good job of sunscreen. Plasses, sun hats, sunglasses, and sunscreen are applied.
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