It's really hot!Recently, there are many hospitals treated with a number of fever, and these three symptoms will be sent to the hospital quickly →

Shanghai today's highest temperature 40.6 ° C was born with two hundred -year records

In this kind of weather, many hospitals have diagnosed some patients with heat -shooting diseases

"A 75 -year -old male patient was sent to the emergency department on the afternoon of July 6. When he was walking in the community, he suddenly fainted. When he was admitted to the hospital, his body temperature was 42.1 ° C. He was unconscious." A patient in the emergency room received a patient.

At 3 pm on the same day, the patient Li Lao fainted in the community. At that time, the outdoor temperature was close to 40 ° C, which was burning and aggressive. After the old man fainted, he was discovered and dialed 120 by his neighbors, and he was rushed to the emergency treatment of Renji Hospital. After inspection by an emergency doctor, the body temperature reached 42.1 ° C when he was admitted to the hospital, accompanied by myocardial muscle injury, muscle injury, and a hypertrophic shock appeared.

"The patient's body temperature is very high, and all the organs in the body are also in a high temperature state." Wang Shiwei said that the patient's condition was very dangerous at the time. For patients with fever, it was not treated in time, and its mortality rate could reach 80%. As a doctor, Wang Shiwei quickly adopted physical cooling measures. After taking off the patient's body, he wiped his neck, armpit, groin and other parts with ice blankets, ice bags, alcohol. The rescue of liquid recovers to supplement the patient's water and electrolyte.

The body temperature is 41 ° C, 39 ° C, 38.5 ° C ... After the emergency treatment, Lao Li finally was out of danger and maintained the body temperature in low risk areas. "For this kind of coma patients with heat stroke, we ask for controlling his body temperature to below 38.5 ° C within 2 hours." Wang Shiwei said that Li Laobo had resumed consciousness the next day and was discharged on the third day.

A 55 -year -old unconscious person was sent in the emergency rescue room of Songjiang District Central Hospital, with a body temperature of 41.9 ° C, convulsions, shortness of breath, and heart rate 147 times per minute. According to the 120 transfer doctor, the patient caused thermal radiation attack due to the high temperature environment of the factory.

According to the news of Songjiang District Central Hospital: Since July 10, the hospital has been diagnosed with more than 10 heat stroke patients, some who work in the fields, some elderly people who live alone are reluctant to turn on the air conditioner, and some are working at the construction site. On July 13, five patients with fever were diagnosed on a single day. At 8 o'clock this morning, a 93 -year -old old man had a heat stroke and was sent to the hospital by a good intention. In the afternoon, he sent a number of patients with a number of heat -ranging diseases. After 5 o'clock, 3 cases were taken after 5 o'clock. Gu Ruilian, the nurse of the emergency room: these days have continued to be high temperature, and patients with heat stroke have increased significantly compared with previous years. Average daily treatment of 4-5 patients with heat ejaculation, ice packs, ice caps, ice blankets, and rescue drugs prepared by the rescue room. Three times the usual.

After the medical team was diagnosed with 55 -year -old patients, rescue was quickly carried out, giving patient ECG monitoring, oxygen absorbing, ice packs, ice caps, ice blankets, ice water wiper and other physical cooling, injecting large doses of sedative drugs. Patients have vomiting during the rescue process. In order to prevent suffocation, the doctor rescued the doctor for tracheal intubation. After an active and effective first aid, after an hour and a half, the patient's body temperature dropped to 38.4 ° C, the vital signs tended to be stable, and the CT examination was sent to the intensive care unit to continue observing.

Wang Xuemin, chief physician of the Department of Emergency Diseases of Songjiang Central Hospital, reminded: In high temperature season, first of all, long -term outdoor and indoor high temperature operations should be avoided. If discomfort occurs, it should be transferred to a cool and ventilated place. Drink a lot of water or eat cold food. The elderly in the family should not be willing to turn on the air conditioner and fan. The suitable temperature and environmental humidity will help avoid the elderly heat stroke. If you find that there are people around the surrounding people, heated, sweatless, and unconscious, please send it to the hospital immediately.

Many citizens think that thermal radiation disease is heat stroke, but it is not so simple. Zhai Xiaoyan, a general doctor of Jiahui International Hospital, lists the difference between the two for the citizens:

● Mild heat stroke: also known as threatened heat stroke, manifested as: thirst, loss of appetite, headache, dizziness, sweating, fatigue, weakness and vomiting , Normal or elevated body temperature.

● Severe heat stroke: including heat spasm, heat failure, and heat irritation. It is manifested as: high thermal (rectal temperature ≥41 ° C), dry skin (can be wet), blurred consciousness, obsession, and even no response, surrounding circulation failure or shock. In addition, it is more likely to cause transverse muscle dissolving, acute renal failure, liver failure, DIC or multi -organ failure.

The so -called "thermal radiation disease" is severe heat stroke. This dangerous emergency mainly refers to the dysfunction caused by high temperature. Human body temperature adjustment function disorders cannot be discharged in time. Nervous organs are damaged, and local muscle spasm, high fever, sweatless, dry mouth, coma, dyspnea, and even respiratory failure and other symptoms.

Experts list three prominent features: ① High temperature (body temperature exceeds 40 °) ② No sweat is discharged from ③ consciousness is blurred, convulsions, and even no response. High -risk people include sanitation workers and construction workers who work outdoor for a long time; people who stay in closed rooms and cars for a long time; people with chronic diseases, especially those with cardiovascular and cerebrovascular diseases; old and weak people, children and pregnant women.

To prevent fever, experts remind you to pay more attention to living in summer, and try to avoid going out at 11-16 in high temperature weather. Guarantee adequate sleep. Help yourself adapt to the environment.

If patients with the symptoms of thermal ejection disease, the patient needs to be transferred to the cool and ventilated place as soon as possible, and then let them lie down, physical cooling, water supplementation (the best salt water), etc. At the same time, dial 120 emergency treatment at the same time.Pay attention to prevent extra damage caused by convulsions.Author: Gu Yong Yangzi Huang Xing

WeChat editor: nano

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