Shock type heat stroke

Everyone has heard of heatstroke, and many people may have not only seen it but also experienced it personally. The sun is extremely scorching in the summer. If the human body exercises in high temperatures for a long time or is always in a high temperature state, heatstroke is very easy to occur, and severe cases may even lead to shock. After suffering from heat stroke, go to the hospital for treatment in time, and do not delay. There are different classifications of heatstroke in medicine, and shock-type heatstroke is one of them. What exactly is shock-type heatstroke?

There are two types of heat stroke shock. One is chronic heat stroke shock. Chronic heat stroke shock occurs after a very high fever. This type of shock is difficult to treat. If you can wake up, take heatstroke medicine as soon as possible.

One is acute heatstroke, which is a sudden onset of heatstroke shock in a high temperature environment. This type of heatstroke shock can usually be recovered in a cool environment. But after waking up, I took some heatstroke medicine as soon as possible and recovered quickly. Otherwise, you may suddenly develop a high fever and enter the final stage of chronic heat stroke.

Heatstroke is an acute disease with central nervous system and/or cardiovascular dysfunction as the main manifestations, caused by dysfunction of the temperature regulation center, failure of sweat glands and excessive loss of water and electrolytes in the hot summer season, high temperature and/or high humidity environment. Based on clinical manifestations, heatstroke can be divided into premonitory heatstroke, mild heatstroke and severe heatstroke. Among them, severe heatstroke is divided into heat cramps, heat exhaustion and heat stroke. Heat stroke is the most serious type of heat illness.

Causes

1. Increased heat production

Working in hot seasons or in high temperature, high humidity and poorly ventilated environments, and insufficient heat prevention and cooling measures.

2. Reduced heat dissipation

High ambient temperature and humidity, poor ventilation, sweat gland dysfunction, etc.

3. Decreased body heat adaptability

The elderly and infirm, women in the postpartum period, and patients with underlying diseases such as cardiovascular and cerebrovascular diseases have relatively weaker ability to adapt to heat and are more likely to get sick in the same environment.

examine

1. Routine blood and urine examination: increased total white blood cell count and neutrophil count, proteinuria and tubular urine.

2. Liver and kidney function and electrolyte tests: Severe cases often show elevated transaminases, elevated blood creatinine and urea nitrogen, elevated creatine kinase (CK) and lactate dehydrogenase (LDH), electrolyte imbalance, and abnormal coagulation mechanism.

3. Electrocardiogram: mostly showing rapid arrhythmia. It is generally sinus tachycardia, ventricular premature beats, and sometimes bradycardia, which may be accompanied by abnormal T waves and ST segments.

4. CT examination: convenient, rapid and safe, especially for emergency patients, it can make an exclusionary diagnosis quickly, playing an important role in buying time to rescue patients.

5. Blood gas analysis: often indicates metabolic acidosis and respiratory alkalosis, hyperlactatemia, hypoxemia, etc.

diagnosis

The season of onset, high temperature and/or high humidity environment, and clinical manifestations (high fever, coma, convulsions) are the keys to the diagnosis of heat stroke, and other organic diseases should also be excluded.