中暑臨床表徵之研究

Clinical Studies on Chinese Patients with Heat Stroke

侍台平(T. P. Shyh) ； 謝善德(S. D. Shieh) ； 范成得(C. D. Fan) ； 黃漢文(H. W. Huang)

《Journal of Medical Sciences》 4卷3期 (1982/01) Pp. 1271-1275

摘要

中暑乃係由於熱對於全身組織系統損傷所造成的疾病，主要可併發腎臟、肝臟、心臟、神經系統等損傷與功能障礙，及散在性血管內凝固病變。三軍總醫院內科病房自民國67年至70年四年中，共發現31位男性中暑病患，共有11例死亡，死亡率達35%。其中5例死於散在性血管內凝固病變合併大出血，3例死於急性肺水腫，另3例死於循環衰竭。雖其預後不佳，但如能自其明顯的病史與臨床症狀中及早認知並診斷此病，加以適切而迅速的治療，防止並減低其合併症的發生，便可大為降低其死亡率。

並列摘要

Heat stroke is an acute medical emergency. Sporadic cases were encountered in military recruits during summer basic training. Thermal cellular injury associated with heat stroke resulted in widespread tissue injury to the heart, kidney, liver and blood coagulation system.Thirty-one patients were admitted to nephrology ward of Tri-Service General Hospital because of suffering from heat stroke during the past four years. Its clinical features, outcome and causes of mortality were analyzed and tabulated. Despite the fact that it is not totally preventable, it was expected that limiting the duration and degree of physical exertion for risky patients will lower the morbidity. And prompt recognition of symptoms and signs of heat stroke by personnel responsible for the well-being of these patients in the field and rendering of appropriate first aid measures will decrease the mortality rate.