Pôle Médecine d'Urgence, Centre Hospitalier Jean Rougier, 46000 Cahors, France.
Emerg Med J. 2010 Apr;27(4):297-9. doi: 10.1136/emj.2008.067934.
This study describes patients admitted to an urban emergency service in France during the 2003 heat wave. Patients with heat-related illnesses were studied and comparison was made between those who died and survivors.
A retrospective study of about 760 records concerning 726 patients aged over 65 years admitted during August 2003 to a French emergency department.
After review of the medical records, 42 patients had heat-related illnesses. Heat-related illnesses were not diagnosed by the treating physician in any of the patients. The patients were more likely to live in institutional care and used more psychotropic medications. Hyperthermia and acute cognitive impairment were the main reasons for admission to the emergency department. The patients had a higher heart rate and body temperature and more dyspnoea and central nervous system dysfunction than those without heat-related illnesses. Twelve patients (28.6%) with heat-related illnesses died in the emergency unit or after admission to hospital. Temperature, heart rate and plasma creatinine levels were higher in those who died than in survivors with heat-related illnesses.
Heat-related illnesses are a group of underestimated and underdiagnosed conditions with high morbidity and mortality rates.
本研究描述了法国一个城市急诊服务在 2003 年热浪期间收治的患者。研究了与热相关的疾病患者，并对死亡患者和幸存者进行了比较。
这是一项回顾性研究，涉及 2003 年 8 月期间法国一个急诊科收治的 760 例 65 岁以上患者的约 726 份病历。
对病历进行审查后，有 42 例患者患有与热相关的疾病。但治疗医生没有诊断出任何患者患有与热相关的疾病。这些患者更有可能住在机构护理中，使用更多的精神药物。高热和急性认知障碍是急诊入院的主要原因。与无热相关疾病的患者相比，这些患者的心率和体温更高，呼吸困难和中枢神经系统功能障碍更多。12 例（28.6%）与热相关疾病的患者在急诊室或住院后死亡。与热相关疾病的幸存者相比，死亡患者的体温、心率和血浆肌酐水平更高。
与热相关的疾病是一组被低估和漏诊的疾病，发病率和死亡率都很高。
