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摘要


近年來由於溫室效應,地球的年均溫節節上升,台灣地屬亞熱帶海島型氣候,夏季炎熱且濕度又高,為熱病的好發地區,據行政院衛生署2004年資料顯示,台灣有10人死於熱病(Heat-Related Illness)。熱病的發生主因是熱量的產生超過熱量的散失,假如相關因素沒有被矯正,就會產生熱病。熱病的症狀從頭暈、疲勞到昏厥甚至昏迷或死亡,輕微的熱病只要補充水分、休息或移除熱環境即可改善;嚴重的如熱休克(heat stroke)必須立刻積極處理,若延遲處理,其死亡率相當高。熱病常見於軍人、勞工、運動員、慢性疾病者、服用特定藥物者及老年人,本院(國軍高雄總醫院)地處於台灣南部,夏季炎熱高溫,民國94年共收療16位熱病病例,其中大部分為軍人,幾乎所有病例都是發生在夏季,所以環境因素仍是造成熱病最重要的因素。

關鍵字

熱病 熱衰竭 熱休克

並列摘要


The average temperature of the early in increasing because of the greenhouse effect. Taiwan locates in the subtropical zone. It is hot and humid in the summer season. Heat-related illness is prevalent in Taiwan. According to the data of the Department of Health, Executive Yuan, ten people died from heat-related illness in 2004. The major cause of heat-related illness is rate of heat gain exceeding the ability of the body to dissipate heat. If the related factors are not corrected, it will develop eventually. The symptoms range from dizziness, fatigue, syncope to coma and death. Mild heat-related illness can be treated with hydration, rest and removal from the hot environment. Severe heat-related illness such as heat stoke should be treated immediately. The mortality is high with delayed treatment. Heat-related illness is common in the military, athletes, persons with chronic disease, those taking a variety of medications and the elderly. Kaohsiung Armed Forces General Hospital is located in the south of Taiwan. It is very hot in summer. We has 16 cases who were diagnosed as having heat illness. Most of them were soldiers. Most of the cases occurred in the summer. Therefore, the environment factor is still the most factor of heat illness.

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