Wyndham C H, Williams C G, Morrison J F, Heyns A J, Siebert J
Br J Ind Med. 1968 Jan;25(1):22-39. doi: 10.1136/oem.25.1.22.
In order to know as much as possible about human reactions under conditions of extreme ambient air temperatures, and about the ability of men to survive under these conditions and to assist in their own survival, a series of studies was made in which groups of 10 men were exposed to temperature conditions ranging from 96°F. to 104°F. wet bulb (W.B.). Rigid criteria were employed to decide when men should be withdrawn from the test conditions. These were: () reaching a rectal temperature of 104°F., () suffering from repeated attacks of heat collapse which prevented the subject from standing erect, and () suffering a change in temperament and being no longer susceptible to instructions. At W.B. temperatures of 104°F. and 102°F. the rectal temperatures of the men continued to rise in a straight line until they reached 104°F. There was no tendency for the rectal temperatures to reach a steady state. At 100°F. W.B. there was a definite tendency in the rectal temperatures towards a steady level, but a steady state was not reached until the rectal temperatures had reached 104°F. The same general trend was seen at 98°F., but the time taken to reach a steady state was increased considerably. At 96°F. the rectal temperatures reached a steady level of between 102°F. and 103°F. after about 12 hours of exposure. Superimposed on this steady level was a clearcut circadian rhythm in rectal temperature. At 104°F. the mean heart rate continued to rise until the men were withdrawn when it had reached 148 beats per minute. In all the other air conditions, the heart rates reached a relatively steady level and the maximum level attained was proportionate to the severity of the air conditions. The sweat rate increased steadily between 96°F. and 100°F. W.B. from 130 ml./hour to 300 ml./hour. Above 100°F. it increased sharply to reach 800 ml./hour at 102°F. and 875 ml./hour at 104°F. W.B. In contrast to the sweat rate, the hourly rate of water intake did not alter between 96°F. and 100°F. W.B., being approximately constant at 150 ml./hour, but at 102°F. and 104°F. W.B. it rose sharply to 310 ml./hour and 330 ml./hour respectively. The hourly urine output was 95 ml./hour at 96°F. W.B. but fell to 50 ml./hour at 98°F. W.B. and declined further to 35 ml./hour at 104°F. W.B. At 96°F. and 98°F. W.B. the water intake was approximately equal to the rate of sweat loss, but at 100°F. the sweat rate increased without any rise in water intake, so that the difference was about 150 ml./hour. At 102°F. and 104°F. W.B. the rate of sweating increased sharply. Although the rate of drinking also rose, the difference between intake and output had also increased to about 550 ml./hour at 104°F. W.B. The curve of the average rate of dehydration is very similar to that representing the rate of sweating. There was little difference in the rate of dehydration between 96°F. and 98°F. W.B., the rate being 80 ml./hour, but at 100°F. it rose to 210 ml./hour. Above 100°F. W.B. the rate of dehydration rose sharply as the rate of water intake lagged further behind the rate of sweating; it was 510 ml./hour at 104°F. W.B. The main psychological effects were on the men's temperaments. A number of men became aggressive, a few became hysterical, and a few maintained a stoical silence. At 96°F. W.B., when the men remained in the climatic rooms for 48 hours, there were periods of aggressive behaviour which alternated with apathy. Electroencephalograms were done on some subjects. No abnormalities of any kind were evoked or caused by exposure to heat. The tolerance times before which men, who were initially cool, would not have reached their limit of tolerance to heat were estimated.
为了尽可能多地了解人体在极端环境空气温度条件下的反应,以及人类在这些条件下生存并帮助自己存活的能力,进行了一系列研究,其中每组10名男性被暴露在湿球温度从96°F到104°F的环境中。采用严格的标准来决定何时应将男性从测试条件中撤出。这些标准是:(1)直肠温度达到104°F;(2)反复出现热虚脱发作,导致受试者无法直立;(3)性情发生变化,不再听从指令。在湿球温度为104°F和102°F时,男性的直肠温度持续直线上升,直至达到104°F。直肠温度没有达到稳定状态的趋势。在湿球温度100°F时,直肠温度有明显趋向稳定水平的趋势,但直到直肠温度达到104°F才达到稳定状态。在98°F时也观察到相同的总体趋势,但达到稳定状态所需的时间大幅增加。在96°F时,暴露约12小时后,直肠温度达到102°F至103°F之间的稳定水平。叠加在这个稳定水平上的是直肠温度明显的昼夜节律。在104°F时,平均心率持续上升,直到男性被撤出时达到每分钟148次心跳。在所有其他空气条件下,心率达到相对稳定的水平,达到的最高水平与空气条件的严重程度成比例。出汗率在湿球温度96°F至100°F之间从130毫升/小时稳步增加到300毫升/小时。高于100°F时,出汗率急剧增加,在湿球温度102°F时达到800毫升/小时,在104°F时达到875毫升/小时。与出汗率相反,在湿球温度96°F至100°F之间,每小时的饮水量没有变化,约为150毫升/小时,但在102°F和104°F时,饮水量急剧上升至分别为310毫升/小时和330毫升/小时。在湿球温度96°F时,每小时尿量为95毫升/小时,但在98°F时降至50毫升/小时,在104°F时进一步降至35毫升/小时。在湿球温度96°F和98°F时,饮水量大致等于出汗损失率,但在100°F时,出汗率增加而饮水量没有增加,因此差值约为150毫升/小时。在湿球温度102°F和104°F时,出汗率急剧增加。虽然饮水率也上升,但在湿球温度104°F时,摄入量与排出量之间的差值也增加到约550毫升/小时。平均脱水率曲线与出汗率曲线非常相似。在湿球温度96°F和98°F之间,脱水率差异不大,为80毫升/小时,但在100°F时升至210毫升/小时。高于100°F时,随着饮水量进一步落后于出汗率,脱水率急剧上升;在湿球温度104°F时为510毫升/小时。主要的心理影响体现在男性的性情上。一些男性变得好斗,少数人变得歇斯底里,还有少数人保持坚忍的沉默。在湿球温度96°F时,当男性在气候舱中停留48小时时,会出现攻击性行为期与冷漠期交替的情况。对一些受试者进行了脑电图检查。暴露于热环境未诱发或导致任何类型的异常。估计了最初处于凉爽状态的男性在未达到其耐热极限之前的耐受时间。