<h1 class="pgc-h-arrow-right" data-track="41" > 42-year-old woman with heat stroke and a body temperature of up to 42 °C</h1>
Sister Wang, 42, was taken to the hospital for treatment due to heat stroke. The temperature was measured and found to be 42 ° C, which is an appalling high temperature.
The reason for the incident was this: the temperature was as high as 39 degrees Celsius that day, the strongest hot day in recent times. At noon, Sister Wang remembered that in her field, the edamame beans were ripe, and she thought of picking some back, so she took the farmland tools and went to the field. As soon as Sister Wang entered the farmland, it was as if a fish had entered the water, and she was at ease. What time, what high temperature was thrown behind by the big sister. One will plough the soil, the other will pick a edamame.
The sweat, burned at high temperatures, evaporated quickly. The salt and moisture in Sister Wang's body are constantly flowing. Dry mouth seems to have no reminder effect on Sister Wang, and it just so happens that Uncle Niu next door also came to cultivate his own farmland, looking at Sister Wang's sweaty look, he couldn't help but say: "Sister Wang, don't you take a break?" "Soon, right away." This idea of waiting and waiting is the inducing factor for Sister Wang's eventual unconsciousness.
On the way home, the eldest sister met Uncle Niu again. Both smiled, nodded, and hurried away. When she got home, the eldest sister put down the utensils, and when she got up, her eyes were blurry and fainted.
Only to see Sister Wang roll her eyes and fall down unconsciously. Sister Wang fell under this sun, and fortunately for the eldest sister, Uncle Niu was on the balcony next door. Uncle Niu was startled by the loud noise, and immediately raised his head to look around, just in time to see Sister Wang lying on the ground. The old man who quickly called the eldest sister began to call the name of the eldest sister, but the eldest sister did not respond.
The old man carried the eldest sister to the room in a panic, hurriedly called his son, and was among the people who pinched the eldest sister on the way back to wait for his son to return. Time passed, the son arrived, saw that his mother's situation was not right, and immediately took his mother to the hospital. Lips, skin mild cyanosis, nodding breathing, bilateral pupils and other large and equal circles, sluggish reflex to light, thick breath sounds in both lungs, can be heard phlegm sounds, heart rate 155, body temperature as high as 42 ° C.
<h1 class="pgc-h-arrow-right" data-track="40" > thoughts do not pay attention to heat stroke and miss the best treatment period</h1>
Sister Wang was judged to be severely ill with heat stroke, respiratory failure, and metabolic acidosis. Immediately after admission, physical cooling was given, ice packs were placed on the skull, armpits, and groin, and chlorpromazine 25 mg was injected for rapid and large amounts of fluids. Establish artificial airway, perform mechanical ventilation, keep the respiratory tract unobstructed, inhibit acid, protect organ tissue, and maintain acid-base and water-electrolyte balance. Died after active rescue for 40 min. Although the patient was immediately put into active anti-heat stroke and anti-multi-organ failure rescue after admission, the rescue was ultimately ineffective and he died.
We regret the passing of Sister Wang, and we should pay attention to the problem of this accident, which we summarize into the following points. First of all, the patient's thinking is not enough attention, ignoring the possibility of heat stroke in a hot environment, and not recognizing the prodromal symptoms of heat stroke. Secondly, the medical awareness of the surrounding personnel and their families is not in place, and they have not been treated correctly. Finally, the treatment was not timely, there was no common sense of first aid and the admission time was too late, which was the wrong optimal period.
<h1 class="pgc-h-arrow-right" data-track="39" > should know about heat stroke</h1>
In a high temperature environment, many factors will affect the self-regulation of body temperature, if the body can not adapt, it is easy to cause physiological dysfunction, resulting in abnormal increase in body temperature, causing heat stroke. Common triggers of summer heat stroke are: age, dehydration, fever, obesity, illness, overwork, mental stress and other factors.
Heat stroke can be divided into three stages according to the severity of symptoms: aura, mild, and severe.
Aura heat stroke: the mildest symptoms of heat stroke are also the initial stage, patients generally feel dizzy, sweaty, nausea, dry mouth and tongue, chest tightness, shortness of breath, general weakness and other symptoms.
Recommended measures: Patients should go to the shade in time to replenish water and rest for a period of time, and the discomfort symptoms can be relieved by themselves.
Mild heat stroke: on the basis of aura heat stroke, accompanied by symptoms such as shortness of breath and sweating, the hands and feet are unusually cold, but the body temperature is as high as 38 ° C and above.
Recommended measures: Treated like a precursor heat stroke, it can be relieved on its own.
Severe heat stroke: the most severe stage, can produce heat spasms, heat exhaustion and heat stroke, body temperature can reach more than 40 ° C, there will be coma and other symptoms.
Suggested action: Dial 120, as well as implement first aid measures immediately while waiting.
<h1 class="pgc-h-arrow-right" data-track="38" > know how to give first aid to severe heat stroke</h1>
Heat stroke is actually the peripheral circulation failure caused by excessive accumulation of heat in the body, a large amount of water loss, and salt loss.
1. Quickly transport the patient to a cool place, keeping the respiratory tract open is the key
Most patients with severe heat stroke are viscous in respiratory secretions after strenuous exercise, coupled with patients with impaired consciousness and vomiting. Therefore, during the handling, try to use a stretcher to place the patient on the side, the head is tilted back and the head is low, and the sputum should be sucked in time to prevent vomit from being inhaled into the lungs. Immediately dial 120 for comatose or respiratory arrest.
2. Rapid cooling is fundamental
Hyperthermia has a strong direct toxic effect on the body's tissue cells and can cause extensive organ dysfunction. Only positive cooling can effectively treat heat stroke and reduce complications. In particular, the brain's tolerance to high temperature and hypoxia is poor, so we repeatedly wet the head with ice water, place ice packs on both sides of the neck, and wipe all parts of the body with ice water or alcohol, and give limb massage to promote heat dissipation and speed up the surrounding circulation.
All types of heat stroke treatment is basically the same, immediately leave the high temperature environment to a cool and ventilated place, take off clothes, lie on the side, and give oxygen treatment if there is a condition at home. Ice water or alcohol rub the head, armpits, groin and all parts of the body, increase air circulation, and give limb massage to promote blood circulation and prevent shock.
<h1 class="pgc-h-arrow-right" data-track="29" > need to know to prevent heat stroke</h1>
1, drink more water
Especially when working and exercising in a high temperature environment, it prevents dehydration due to frequent replenishment of water sources. It is best to drink some light salt water or sports drinks containing trace elements to replenish the lost electrolytes. When we go out every day, we can sprinkle a few grains of salt into our own water cups to make light brine.
2. Eat lightly and keep plenty of rest
Do not ignore their own health, personal physique is an important reason to affect whether a person has heat stroke, the enhancement of their own resistance means that the stronger the resistance to heat stroke.
3. When the weather is too hot, try not to go out
If necessary, try to wear light-colored and loose clothing, if you suddenly feel uncomfortable during the outing, immediately go to the shade to rest until the discomfort is relieved.
4, do not drink high sugar or alcohol-containing beverages, will increase the possibility of heat stroke.
Summary: The hot weather in August has arrived, and everyone must pay attention to protecting themselves in their daily lives and try to avoid heat stroke. If you find signs of heat stroke, please stop things immediately, rest to relieve discomfort, and avoid further aggravation of heat stroke symptoms.