Trujillo Maximo H, Bellorin-Font Ezequiel, Fragachan Carlos F, Perret-Gentil Ricardo
Critical Care Units and Division of Nephrology, The University Hospital of Caracas, Caracas, Venezuela.
J Intensive Care Med. 2009 Jan-Feb;24(1):72-8. doi: 10.1177/0885066608327122.
We describe the clinical features of a patient with near-fatal heat stroke who was admitted to our intensive care unit. A 14-year-old girl became convulsive and hyperthermic when participating in a strenuous hike under direct sunlight in a hilly area in Venezuela on a very hot and humid day. During the following days, she developed multiple organ failure, including neurological impairment, acute renal failure, disseminated intravascular coagulation, and extensive hepatic and muscle damage. Treatment consisted of ventilatory support, hemodialysis, corticosteroids, and enteral nutrition. This case of multiple organ failure following near-fatal heat stroke illustrates that although there are no specific techniques and measures for the treatment of this condition, intensive care management and conservative strategies can result in patient survival and complete recovery.
我们描述了一名因近乎致命的中暑而入住我们重症监护病房的患者的临床特征。一名14岁女孩在委内瑞拉一个炎热潮湿的日子里，于山区阳光直射下参加剧烈徒步旅行时，出现惊厥和体温过高症状。在接下来的几天里，她出现了多器官功能衰竭，包括神经功能损害、急性肾衰竭、弥散性血管内凝血以及广泛的肝和肌肉损伤。治疗包括通气支持、血液透析、皮质类固醇和肠内营养。这例近乎致命的中暑后多器官功能衰竭病例表明，尽管对于这种病症没有特定的治疗技术和措施，但重症监护管理和保守策略可使患者存活并完全康复。
