Many patients with heat stroke have appeared in Sichuan, Zhejiang and other places. In most people's minds, heat stroke is common due to high temperatures in summer. However, they do not know that the mortality rate of severe heat stroke, that is, heat stroke, is as high as 50%.

With the arrival of the dog days of summer, many places across the country have entered "steaming and baking mode". Many heat stroke patients have appeared in Sichuan, Zhejiang and other places. In most people's minds, heat stroke is common due to high temperatures in summer. However, they do not know that the mortality rate of severe heat stroke, that is, heat stroke, is as high as 50%.

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Who is heat stroke more common in?

Category 1: People who have been exposed to high temperatures for a long time, such as sanitation workers, construction workers, traffic police, firefighters, athletes, etc. This group of people experience high body temperature in the workplace, high intensity and long duration of work, and often suffer from risk factors such as lack of sleep, insufficient water replenishment, and mild heat stroke symptoms that are not taken seriously.

The second group of people: the elderly, infants and young children, pregnant women, etc. They either lack awareness of heatstroke prevention, choose not to turn on the air conditioner or spend too much time in hot springs or saunas due to frugality, or they have the custom of covering themselves up with quilts in three layers and sweating to reduce fevers, or their parents are careless and forget about their children. In the carriage.

The third category of people: people with underlying diseases or taking medication. Basic diseases include hyperthyroidism, schizophrenia, Parkinson's disease, hypohidrosis, severe skin diseases, etc. Or take some drugs that affect body temperature regulation, such as anticholinergic drugs, antihistamine drugs, antipsychotic drugs, beta blockers , diuretics , etc.

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When these symptoms occur, you need to be alert to heat stroke

Most patients with heat stroke have altered consciousness and high fever as their first symptoms, and are also combined with coagulation dysfunction, which in turn leads to multiple organ failure and even death. But early identification and diagnosis of this group of people is not easy.

Domestic research shows that at the scene of the disease, only 12.3% of patients were initially diagnosed with heat stroke or heat stroke, and most of the undiagnosed patients mainly described symptoms (such as high fever, nausea, vomiting, etc.) (64.5%) , followed by misdiagnosis as neurological disease (24.3%).

In life, for elderly, frail or chronically ill patients with unknown causes of fever and who have been in a closed environment, if symptoms such as disturbance of consciousness occur (exclude the possibility of stroke ), or when the patient has high temperature (high humidity) When working in an environment or experiencing high-intensity physical exercise, and experiencing symptoms such as high fever and impaired consciousness, heat stroke should be considered first.

For most people, cooling off in summer can actively prevent the occurrence of heat stroke. People in special jobs People in special jobs need to improve their working environment, adjust work and training times, and avoid hot periods. Special groups need to strengthen community volunteering door-to-door care. Only in this way can we spend the summer safely and avoid the occurrence of heat stroke.

Text: Ma Shuai, attending physician at the Emergency Department of Beijing Chaoyang Hospital Affiliated to Capital Medical University, and Yang Shuling, special reporter of the Health News

Editor: Guan Zhongyao Ma Yang

Video: Li Keyi Huang Qiulan

Drawing: Ma Yang

Proofreading: Ma Yang

Review: Xu Bingnan Yan Yan

Source: Health News