 |
[email protected] |
 |
3275638434 |
 |
 |
| Paper Publishing WeChat |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Successful Treatment of Severe Shock in Heat Stroke:
A Case Report and Literature Review
Xiao Hongbin
Full-Text PDF
XML 289 Views
DOI:10.17265/1548-6648/2023.01.003
Department of Internal Medicine, Dazhou Orthopedic Hospital, Dazhou, Sichuan 635000, China
Heatstroke is the most severe condition in high-temperature related emergencies, namely severe heatstroke. It is caused by exposure to high temperature and humidity, where the body’s regulatory function is imbalanced and heat production exceeds heat dissipation, leading to a rapid increase in core temperature, exceeding 40 °C. It is a serious and fatal disease accompanied by skin burning, consciousness disorders (such as delirium, convulsion, coma), and multiple organ dysfunction. It is the most severe type of heatstroke, and once it occurs, the mortality rate is extremely high. According to the cause of the disease and the susceptible population, heat stroke can be divided into labor type heat stroke and non-labor type heat stroke, also known as classical heat stroke. Labor induced heat stroke mostly occurs in young and middle-aged people. It occurs several hours after vigorous exercise or physical labor, with about 50% of patients sweating profusely, heart rate 160-180 beats/minute, pulse pressure increasing, and can cause rhabdomyolysis, acute renal failure, liver failure (liver transaminase can rise to tens of thousands of units after 24 h of onset), Diff -use Intravascular Coagulation or Multiple Organ Dysfunction Syndrome, with a high mortality rate.
Thermal damage factors, shock, heat shock disease, multiple organ failure
Journal of US-China Medical Science 20 (2023)
[1] Lu, W., Sun, H. J., Guo, X., and Song, Z. J. 2010. “The Application of Mild Hypothermia in the Treatment of Exertional Heat Stroke.” Journal of Air Force Medical University 31 (S1): 55.
[2] Song, Q., Wang, X. Y., and Zhou, F. H. 2007. “Analysis of the Treatment of Heat Stroke Complicated by Multiple Organ Dysfunction during Off-Road Training.” Journal of Medicine of the People's Liberation Army 5(7): 49-54.
[3] Zeng, N., Wu, S., Chen, Y., Wang, Z.-T., Zhang, Q., Zhang, X.-F., Zhang, X., Chen, Q., and Wang, L. 2022. “A Case of Rehabilitation of Neurological Dysfunction Caused by Classic Heat Stroke Disease.” China Clinical Case Achievement Database 4 (1): 37-40
[4] Expert Group on Prevention and Treatment of Heatstroke in the Whole Army, Professional Committee of Critical Care Medicine in the Whole Army. 2019. “Consensus of Experts on Diagnosis and Treatment of Heatstroke in China.” Journal of Medicine of the People’s Liberation Army 44 (3): 181-96.
[5] Heled, Y. Rav-Acha, M. Shani, Y., Epstein, Y., and Moran, D. S. 2004. “The Golden Hour for Heat Stroke Treatment.” Mil Med. 169 (3): 184-6.
[6] Casa, D. J., Armstrpng, L. E., Kenny, G. P., O’Connor, F. G., and Huggins, R. A. 2012. “Executive Heat Stroke New Concepts Regulating Cause and Care.” Curr. Sports Med Rep. 11 (3): 115-23.
[7] Song, Q., and Liu, S. Y. 2018. “Analysis of the Fatality Misunderstanding of Labor Induced Heatstroke.” Southeast National Defense Medicine 20 (5): 449-53.
[8] Ma, J., Feng, L., and Ma, Q. 2019. “Summary of Clinical Data and Literature Analysis of 31 Cases of Heat Stroke Disease.” Chinese Emergency Medicine 8 (39): 789-92.