14岁男孩中暑了，请您会诊指导治疗
西门开心 推荐A 14 year old boy is brought by his family to the emergency department after collapsing on the field during a high school football practice.
男性14岁，在足球训练中突然晕倒送急诊。
当天气温为40度，夜间温度32度。
The region has been under a heatwave alert for the past three days, with daytime temperatures reaching 40°C and night time low temperatures of 32°C. The boy’s coach saw him struggling during running exercises, then collapse, and have seizure like activity.
教练称患者跑步训练中晕倒，伴有抽搐。
The boy’s mother says he has no underlying medical conditions and was feeling well before the practice. On arrival at hospital, his heart rate is 145 beats/min, blood pressure 100/60 mm Hg, and his rectal temperature is 40°C. He is breathing spontaneously and responding to painful stimuli. Heat stroke is identified immediately.
患者母亲诉患者既往体健，无基础疾病，当天训练前一切正常。
入院检体：HR 145 bpm，血压 100/60 mmHg, 肛温 40度，自主呼吸，对痛觉有反应。
诊断为：Heat stroke 中暑（更正一下，根据内科学教材第9版，heat stroke翻译为热射病）
治疗方案？
呼吸危重症最后编辑于 2022-08-17 · 浏览 2922
