What about high temperature heatstroke? Doctor: Cooling and Grasping "Gold for half an hour"

According to Huangshan Online News After the big heat, the city's weather has entered a "barbecue model," and continued high temperatures have led to an increase in the number of cases of heat stroke. The weather forecast shows that in the next few days, the city will continue to have hot weather. Relevant doctors reminded that in the event of heat stroke symptoms, rapid cooling should be held for “half a half hour of gold”, but cases of severe heat stroke must be sent to a hospital for treatment immediately, otherwise there is a risk of death.

At 9 a.m. on July 23, a 59-year-old rural woman in Banqiao, Xiuning, went out and was discovered at 3 pm by the fall of rice fields. The family did not call it and immediately sent it to the local hospital. The body temperature was as high as 39.5°C, and the hospitals were given symptomatic treatment such as rehydration. However, the patient was still in an unconscious state and was transferred to the Xiuning County Chinese Medicine Hospital. During the diagnosis and treatment period, the patient developed symptoms such as irritability, double eye upturns, and stiff neck, and the patient was transferred to a city hospital at 11 o'clock to consider the critical condition. The reporter learned from the emergency department of the city hospital on the morning of the 24th that, after diagnosis and treatment, this woman who was initially diagnosed as having heat stroke and multiple organ failure was basically out of danger. According to another report, a few days ago, the department also admitted a case of hyperthermia, and the patient has recovered and discharged.

A doctor of the Municipal Hospital Emergency Department pointed out that the city’s continuous high-temperature weather recently, the cases of high-temperature heatstroke are relatively prone to occur, and many people need to remind the general public to take precautions. Statistics from the city's 120 medical emergency command center show that from July 21 to 23, in as little as three days, as many as five patients complained of “heat stroke” and dialed 120 for help. In addition, there are multiple calls for help complaining of “fainting” and do not rule out the possibility of high-temperature heat stroke. It is suggested that the city should strengthen the high-temperature weather hygiene emergency work to ensure the safety of people and their health.

According to reports, high-temperature heatstroke is caused by high temperature environment caused by body temperature regulation of central dysfunction, sweat gland function failure and excessive water and electrolyte loss caused by the disease, the clinical heat stroke is divided into mild heat stroke and severe heat stroke. Mild heat stroke can be manifested as excessive sweating, general fatigue, dizziness, thirst, chest tightness, palpitations and so on. Severe heat stroke can be divided into heat stroke, heat phlegm and heat failure. Among them, heat stroke is a fatal emergency, mainly manifested as high fever and disturbance of consciousness, and the clinical mortality rate is as high as 70%.

The aforementioned doctors reminded that during the high temperature period, outdoor activities should be avoided in strong sunlight, especially for the sick and sick; when performing outdoor activities, it is necessary to avoid prolonged exposure to the sun, taking sun protection measures at the same time, and carrying sunstroke medications with them; Can choose to use boiled water, tea, mung bean soup and other heatstroke cooling drinks, if sweating more, should be added to the amount of salt. Once symptoms of mild heat stroke occur, they should quickly shift from a high-temperature environment to a cool, well-ventilated place to rest. Beverage some cool drinks with salt, or take sunscreen, ten drops of water, and Huoxiangzhengqi water.

It is understood that the time period for reducing body temperature in patients with heat stroke was changed from the "one hour for gold" to "half an hour for gold." The doctor pointed out that the rapid cooling is the basis for the treatment of high-temperature heat stroke, rapid cooling can improve the prognosis of patients. The patient can be transferred to a well-ventilated, low-temperature environment and undressed while performing skin and muscle massage to promote heat dissipation. Without collapse, the patient can immerse his/her body as much as possible in cold water, stirring constantly to keep the surface of the skin cold, and placing ice cubes wrapped in wet towels around the top of the head. For patients with collapse, use 15 °C cold water to repeatedly wipe the skin or use electric fans, air conditioning. When the body temperature drops to 38°C, stop cooling. However, for cases of severe heat stroke, they must be sent to a hospital immediately.

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