4hw.org: three hot days in China make foreigners panic, and African friends have returned to China for summer vacation. In recent days, Xi'an, Shanxi Province, has turned against Turpan, becoming the city with the highest surface temperature. As of yesterday, 15 people in Xi'an were suffering from heat radiation disease. Three people have died. In the hot summer, it is necessary to prevent heat radiation disease by doing a good job of heatstroke prevention and cooling. What is the relationship between heat radiation disease and heatstroke Department? What is the difference between heat radiation disease and heatstroke? How to prevent heat radiation disease? Let's have a look!
Since the first patient was admitted to Xi'an Jiaotong University on July 20, the First Affiliated Hospital of Xi'an Jiaotong University has successively admitted 15 patients with the disease. At present, three patients have died.
According to doctors from the First Affiliated Hospital of Xi'an Jiaotong University, most of the 15 patients were aged between 40 and 50, mostly male patients, most of whom suffered heatstroke due to long-term outdoor activities. When they were delivered to the hospital, they all had convulsions, spasms and unconsciousness.
According to local media reports, in recent days, there have been a number of cases of heat radiation disease in Shaanxi. On the afternoon of the 24th, a worker surnamed Yue was working at a construction site in Heping Village in the west of Xi'an City, when he suddenly fell into a coma, and then he was rushed to the west electric hospital after 120 days. He was initially diagnosed as suffering from heat radiation disease and was in critical condition. He was in emergency rescue. Then the hospital received another patient, a 60 year old sanitation worker in Taoyuan community, who also fainted in the heat. In addition, Xu XX, a 54 year old construction worker in Baoji, engaged in scaffolding work. Because of continuous operation in hot weather, he suffered heatstroke and died of heat radiation disease on July 21.
Under the high temperature in summer, it is easy to cause some high temperature diseases. Of course, the most common disease caused by high temperature is heatstroke. In addition, among many high temperature diseases, there is a kind of heat radiation disease. Some people should have heard of the disease for the first time. What's the difference between heat radiation disease and heatstroke?
I. what is heat radiation disease
Heat radiation disease is one of the most serious types of heatstroke. Heatstroke can be divided into mild heatstroke and severe heatstroke. Mild heatstroke often presents as dizziness, chest tightness, palpitation, sweating, fever (Anal temperature above 38.5 ℃), skin burning, pale face, blood pressure drop, pulse to fine speed and other symptoms. Severe heatstroke includes heat spasm and heat failure in addition to heat radiation disease.
The heat radiation disease is due to the human body in the high heat environment, unable to effectively heat, temperature regulation mechanism caused by imbalance. Patients often have sudden onset, temperature rise up to 40 ℃ or above, sweating in large quantities at the beginning, and then 'no sweat', accompanied by heat and consciousness disorders, drowsiness, coma and other symptoms of heatstroke nervous system, with high mortality, sometimes mortality can reach 50% - 60%. (this article is edited and collated by sihai.com, reprinted and noted with source, original link: http://www.4hw.com.cn/life/)
According to the state and pathogenesis of the patients at the time of onset, there are two clinical types: exertive and non exertive. The laborer mainly produces too much endogenous heat in the high temperature environment (such as the long-distance runner in the hot weather), which can happen rapidly; the non laborer mainly causes the reduction of heat dissipation caused by the dysfunction of thermoregulation in the high temperature environment (such as the elderly without air conditioning in the living environment during the heat wave attack), which can happen within a few days. Its signs are: high fever (rectal temperature & Ge; 41 ℃), dry skin (early wet), vague consciousness, convulsion, even no response, peripheral circulatory failure or shock. In addition, patients with exertion are more likely to have rhabdomyolysis, acute renal failure, liver failure, DIC or multiple organ failure, with a higher mortality.
The difference between heat radiation disease and heatstroke
Heat radiation disease is a kind of severe heatstroke, and most cases of severe heatstroke show sudden coma in high temperature environment. Before that, it often had headache, numbness, tingling, dizziness and other symptoms. At the same time, the skin was hot and crimson, and the body temperature was often above 40 ℃, which was the most serious case in heatstroke. If not treated in time, life would be endangered. Severe heatstroke can be divided into four types: heat spasm, heat exhaustion, solar radiation disease and heat radiation disease. (this article is edited and collated by sihai.com, reprinted and noted with source, original link: http://www.4hw.com.cn/life/)
Symptoms:
In the early stage, there were a lot of cold perspiration, then no perspiration, shallow and fast breath, fine pulse, restlessness, vague mind, blood pressure drop, and gradually developed to coma with limb convulsion; in severe cases, brain edema, pulmonary edema, heart failure, etc. The diagnosis can only be made according to the corresponding clinical manifestations (temperature rise, syncope or change of mind, etc.) of the susceptible population after a long period of strenuous exercise or labor in the high temperature environment, and other diseases can be excluded.
Other severe heatstroke symptoms:
Symptoms and features of heat spasm: most of them are caused by sweating and thirst, drinking too much water and insufficient salt supplement, resulting in sharp and obvious decrease of sodium chloride concentration in blood. This kind of heat stroke occurs when the muscles will suddenly appear paroxysmal spasm pain.
Symptoms and features of heat failure: this kind of heat stroke often occurs in the elderly and people who are unable to adapt to high temperature for a while. The main symptoms were dizziness, headache, panic, thirst, nausea, vomiting, cold and wet skin, decreased blood pressure, syncope or confusion. The temperature is normal or slightly high at this time.
Characteristics of symptoms of solar radiation disease: the cause of this kind of heatstroke is just like its name, because under the direct sun exposure, strong sunlight penetrates the skin of the head and the skull, causing brain cell damage, and then causing brain tissue congestion and edema; because the main injury is the head, so the first discomfort is severe headache, nausea and vomiting, restlessness, and then Coma and convulsions. (this article is edited and collated by sihai.com, reprinted and noted with source, original link: http://www.4hw.com.cn/life/)
In case of early symptoms, evacuate the high temperature site in time. Avoid strong physical labor at high temperature and poor ventilation, and avoid work in airtight clothes. Eat salt drinks to continuously supplement the loss of water and electrolyte. When the operation under high temperature cannot be avoided, the working conditions shall be improved, the protective measures shall be strengthened, and the lost water and salt shall be supplemented as much as possible. Those who are prone to suffer should avoid working under high temperature.