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桑拿浴后死亡——一例与中暑相关的蛛网膜下腔出血病例报告

Death after sauna-case report of a heat stroke associated subarachnoid hemorrhage.

作者信息

Nothnagel Anna Maria, Schwartz Stefan, Abramovich Igor, Schneider Thomas, Angermair Stefan, Treskatsch Sascha

机构信息

Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health, Department of Anesthesiology and Intensive Care Medicine, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health, Department of Haematology, Oncology and Tumour Immunology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Front Cardiovasc Med. 2024 Nov 26;11:1476962. doi: 10.3389/fcvm.2024.1476962. eCollection 2024.

Abstract

Heat exposure could cause organ injuries leading to multi-organ failure. This case report describes a cardiopulmonary healthy 61-year-old woman who was admitted to our university hospital in an unconscious state after spending more than 30 min in an 80°C sauna. Initial radiological imaging revealed no pathological findings. Laboratory results revealed a rapidly progressing disseminated intravascular coagulation ("DIC") and a clinically asymptomatic COVID-19 infection. The patient died 38 h after admission due to a second-stage subarachnoid hemorrhage associated with progressive DIC. This report emphasizes the importance of awareness and strategies to mitigate deadly consequences of heat exposure.

摘要

热暴露可导致器官损伤,进而引发多器官功能衰竭。本病例报告描述了一名心肺健康的61岁女性,她在80°C的桑拿房里待了30多分钟后,以昏迷状态被送入我们的大学医院。最初的影像学检查未发现病理结果。实验室检查结果显示弥散性血管内凝血(“DIC”)迅速进展,以及临床无症状的新型冠状病毒肺炎(COVID-19)感染。患者入院38小时后,因与进行性DIC相关的二期蛛网膜下腔出血死亡。本报告强调了提高认识以及采取策略以减轻热暴露致命后果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a0/11628487/c4301f0e848e/fcvm-11-1476962-g001.jpg

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