Aarseth H P, Eide I, Skeie B, Thaulow E
Acta Med Scand. 1986;220(3):279-83. doi: 10.1111/j.0954-6820.1986.tb02764.x.
Six athletes were examined immediately after collapsing from heat stroke during exercise, and then followed for several weeks. At the time of collapse most of the patients were sweating profusely, their rectal temperatures being more than 42 degrees C. All recovered within a few hours. The renal function was not disturbed more than expected during heavy exercise, serum levels of liver enzymes were, however, increased for several weeks. Electrolyte homeostasis was undisturbed but for a transient hypercalcemia that can not be fully explained. The marked increments in plasma levels of catecholamines, vasopressin and renin were as expected after heavy exercise. We conclude that as heat stroke presents as a continuum of clinical pictures, biochemical evidence of liver cell injury is a sensitive and important parameter for the diagnosis.
六名运动员在运动中因中暑晕倒后立即接受检查，随后进行了数周的跟踪观察。晕倒时，大多数患者大汗淋漓，直肠温度超过42摄氏度。所有患者均在数小时内康复。肾功能在剧烈运动期间的受干扰程度未超过预期，但血清肝酶水平在数周内有所升高。电解质平衡未受干扰，只是出现了无法完全解释的短暂高钙血症。剧烈运动后，血浆儿茶酚胺、血管加压素和肾素水平的显著升高正如预期。我们得出结论，由于中暑表现为一系列连续的临床症状，肝细胞损伤的生化证据是诊断的一个敏感且重要的参数。
