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核心体温超过46.5摄氏度的中暑患者的存活情况。

Survival in a heat stroke victim with a core temperature in excess of 46.5 C.

作者信息

Slovis C M, Anderson G F, Casolaro A

出版信息

Ann Emerg Med. 1982 May;11(5):269-71. doi: 10.1016/s0196-0644(82)80099-1.

DOI:10.1016/s0196-0644(82)80099-1
PMID:7073052
Abstract

Presented is a case report of a 52-year-old male heat stroke victim. The patient presented in deep coma with a temperature above 42 C. Following rapid assessment, the patient was intubated, rehydration was begun, and he was externally cooled with ice bags and internally cooled with ice water gastric lavage. After 25 minutes the patient's core temperature was measured at 46.5 C (115.7 F). Multiple organ system failure developed over the ensuing days. With aggressive care, the patient improved dramatically and was discharged at prior baseline status on the 24th day of hospitalization. This case now represents the highest human body temperature elevation reported without permanent residua.

摘要

本文报告一例52岁男性中暑患者。患者呈深度昏迷,体温高于42℃。经过快速评估后,患者接受了气管插管,开始补液,并使用冰袋进行体表降温,同时用冰水洗胃进行体内降温。25分钟后测得患者核心体温为46.5℃(115.7℉)。在接下来的几天里出现了多器官系统功能衰竭。经过积极治疗,患者显著好转,并于住院第24天恢复至先前的基线状态出院。该病例目前代表了有记录以来人体体温升高的最高值且无永久性后遗症。

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