McIver William Jack, Zia Muhammad
Accident and Emergency, Birmingham Heartlands Hospital, Birmingham, UK
Accident and Emergency, Birmingham Heartlands Hospital, Birmingham, UK.
BMJ Case Rep. 2025 Jan 7;18(1):e262069. doi: 10.1136/bcr-2024-262069.
Heat stroke is characterised by hyperthermia and acute encephalopathy. We describe a rare case of classical heat stroke secondary to prolonged sauna use with multiorgan sequelae including seizures, liver injury, kidney injury, disseminated intravascular coagulation, rhabdomyolysis and type 2 myocardial infarction. The patient was treated with external cooling, intravenous fluid therapy and blood products, and made a full recovery without need for advanced organ support. We discuss the evidence base surrounding the immediate treatment of heat stroke in the emergency department.
热射病的特征为体温过高和急性脑病。我们描述了一例罕见的经典热射病病例，该病例继发于长时间使用桑拿浴，并伴有多器官后遗症，包括癫痫发作、肝损伤、肾损伤、弥散性血管内凝血、横纹肌溶解和2型心肌梗死。患者接受了外部降温、静脉输液治疗和血液制品治疗，完全康复，无需高级器官支持。我们讨论了急诊科热射病即刻治疗的循证依据。
