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从中暑到多器官功能衰竭:一例幸存者病例报告

From Heat Stroke to Multi-Organ Failure: A Survivor's Case Report.

作者信息

Elbashir Hanna, Saeed Leena, Sabir Doaa, Morgom Marwa, Abuazab Yara, Madebo Tasneem, Yusof Alhady A

机构信息

Emergency Medicine, Hamad General Hospital, Doha, QAT.

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2023 Nov 18;15(11):e48984. doi: 10.7759/cureus.48984. eCollection 2023 Nov.

DOI:10.7759/cureus.48984
PMID:38111401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10726209/
Abstract

A heat stroke (HS) is a medical emergency that can occur when the body is unable to cool itself down after overexertion in a hot condition. It is characterized by a high body temperature (usually greater than 40.5 degrees Celsius or 104.9 degrees Fahrenheit) and altered mental status. HS can cause a wide range of physiological changes in the body, including damage to the brain, heart, liver, kidneys, and muscles. In the case report presented, the patient was a 40-year-old man who developed severe HS. His condition rapidly deteriorated, and he developed multi-organ failure, involving the brain, liver, kidneys, muscles, and hematological system. The patient was admitted to the intensive care unit (ICU) and intubated, despite aggressive treatment. After an 18-day stay in the ICU, the patient achieved full recovery except for myopathy, which necessitated physiotherapy.

摘要

中暑(HS)是一种医疗急症,当身体在炎热环境中过度劳累后无法自行降温时就可能发生。其特征是体温过高(通常高于40.5摄氏度或104.9华氏度)以及精神状态改变。中暑会导致身体发生一系列生理变化,包括对大脑、心脏、肝脏、肾脏和肌肉的损害。在给出的病例报告中,患者是一名40岁男性,患上了严重中暑。他的病情迅速恶化,出现了多器官功能衰竭,累及大脑、肝脏、肾脏、肌肉和血液系统。尽管进行了积极治疗,患者仍被收入重症监护病房(ICU)并插管。在ICU住院18天后,患者除了需要物理治疗的肌病外,实现了完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1ff/10726209/7fc76a9bcf0e/cureus-0015-00000048984-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1ff/10726209/7fc76a9bcf0e/cureus-0015-00000048984-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1ff/10726209/7fc76a9bcf0e/cureus-0015-00000048984-i01.jpg

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The pathogenesis and therapeutic strategies of heat stroke-induced liver injury.中暑性肝损伤的发病机制与治疗策略。
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