Ito Chikao, Takahashi Isao, Kasuya Miyuki, Oe Kyoji, Uchino Masahito, Nosaka Hideki, Sakamoto So, Yoshida Ryuhei, Kasuya Satoshi, Fujimori Daisuke, Nakamura Satoshi, Yamada Eri, Kanda Jun
Department of Emergency Medicine Asahi General Hospital Asahi-Shi Japan.
Department of Emergency and Critical Care Medicine Maebashi Redcross Hospital Maebashi Japan.
Acute Med Surg. 2021 Feb 19;8(1):e635. doi: 10.1002/ams2.635. eCollection 2021 Jan-Dec.
Heat stroke treatment focuses on rapid cooling because symptom severity correlates with the duration of hyperthermia (i.e., time during which the core body temperature is sustained above the critical threshold). Several reports have revealed that cold-water immersion is a safe and appropriate therapy for exertional heat stroke in young, otherwise healthy patients. However, few reports have assessed cold-water immersion in older patients. We document three cases of cold-water immersion in older heat stroke patients and evaluate its safety and efficacy.
Three older patients with severe heat stroke were treated with cold-water immersion. Core body temperatures decreased rapidly, and no complications occurred during the treatment.
Cold-water immersion can achieve rapid cooling and is effective in treating heat stroke. With special precautions, it can be performed safely for older patients. Further investigation is warranted to establish appropriate cooling methods in older adults.
中暑治疗的重点是快速降温，因为症状严重程度与体温过高的持续时间相关（即核心体温持续高于临界阈值的时间）。几份报告显示，冷水浸泡对于年轻且身体健康的劳力性中暑患者是一种安全且合适的治疗方法。然而，很少有报告评估老年患者的冷水浸泡治疗情况。我们记录了三例老年中暑患者的冷水浸泡治疗案例，并评估了其安全性和有效性。
三名重度中暑的老年患者接受了冷水浸泡治疗。核心体温迅速下降，治疗期间未发生并发症。
冷水浸泡可实现快速降温，对治疗中暑有效。采取特殊预防措施后，对老年患者可安全进行。有必要进一步研究以确定适合老年人的降温方法。
