Exertional Heatstroke: A Case Report and Review of Articles

運動型中暑之病例報告與文獻回顧

周建存(Chien-Tsun Chou) ； 陳允(Yun Chen) ； 白永嘉(Yung-Chia Pai) ； 蔡維謀(Wai-Mau Choi)

《中華民國急救加護醫學會雜誌》 20卷1期 (2009/03) Pp. 33-39

https://doi.org/10.30018/JECCM.200903.0004

摘要

運動型中暑對所有參與激烈體能運動的人員是一種危及生命的急症，嚴重時會產生體內多重器官衰竭而致命。預後跟高體溫的程度與維持時間有直接相關，及早診斷與快速降溫對於病人的存活與否很重要。本文報告一19歲男性病例，在激烈運動後產生高體溫、癲癇與腎功能受損症狀，運動型中暑於急診被迅速診斷並且經過合宜治療，病患最後穩定出院。本篇文章整理相關文獻並提出討論。

關鍵字

運動 ； 運動型中暑 ； 多重器官衰竭 ； 快速降溫

並列摘要

Exertional heatstroke (EHS) is a life-threatening condition to all who engage in vigorous physical exertion. It will result in fatal multi-organ failure. The prognosis of heatstroke is directly related to the degree of hyperthermia and the duration. Thus, early diagnosis and rapid cooling are crucial for the patient’s survival. We present a 19-year-old man who had sudden onset of hyperthermia, seizure and renal function impairment after excessive exercise, and exertional heatstroke was diagnosed in the emergency department. After prompt diagnosis and treatment, the patient was discharged with stable condition. Relevant literature was also reviewed and discussed.

並列關鍵字

exercise ； exertional heatstroke ； multi-organ failure ； rapid cooling