Bich Van Ha Thi, Duc Lich Nguyen, Ngoc Anh Tran
Phu Tho Provincial General Hospital Phu Tho Vietnam.
Clin Case Rep. 2025 Jan 29;13(2):e70131. doi: 10.1002/ccr3.70131. eCollection 2025 Feb.
Heatstroke is caused by a loss of control over body temperature. There is a high risk of death if it is not treated quickly and properly. In this article, we report a clinical case of a 21-year-old male patient treated for heatstroke with extravascular temperature control. The patient lost consciousness after being out in the sun for more than 2 h. His body temperature was 41°C upon admission to the district hospital, and then 4 h later, he was transferred to our department. The patient was administered extravascular temperature control with a target temperature of 33°C within 24 h. We rewarmed at a rate of 0.25°C/h to 37°C within 16 h, and the patient was taken off sedation to assess consciousness. After 2 days, the patient's consciousness improved from GCS 5 to 10, and the patient maintained a body temperature of 37°C for another 4 days. However, the patient still had liver failure and severe coagulation disorders on day 5. He was given fresh frozen plasma or plasma exchange. The patient was extubated after 8 days and discharged from the hospital after 24 days of treatment. In conclusion, extravascular temperature control can be used effectively to treat heatstroke, combined with the treatment of damaged organs.
中暑是由体温调节失控引起的。如果不迅速、正确地治疗，死亡风险很高。在本文中，我们报告了一例21岁男性中暑患者采用血管外温度控制进行治疗的临床病例。该患者在户外阳光下暴晒2个多小时后失去意识。他被送往区医院时体温为41°C，4小时后转至我科。患者在24小时内接受血管外温度控制，目标温度为33°C。我们在16小时内以每小时0.25°C的速度复温至37°C，然后停止使用镇静剂以评估意识。2天后，患者的格拉斯哥昏迷评分（GCS）从5分提高到10分，并且在接下来的4天里体温维持在37°C。然而，在第5天患者仍出现肝衰竭和严重的凝血功能障碍。给他输注了新鲜冰冻血浆或进行了血浆置换。8天后患者拔管，经过24天的治疗后出院。总之，血管外温度控制可有效用于治疗中暑，并结合对受损器官的治疗。
