泡温泉、蒸桑拿后昏迷？冬天也要警惕这种疾病
<p style="margin-bottom: 24px;"><span leaf=""></span><span style="font-size: 16px; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em;">冬季很多人喜欢泡温泉或蒸桑拿，但最近各地一些医院急诊科陆续接诊因泡温泉时间过长出现头晕、乏力至昏迷的患者，经诊断这些患者为热射病。冬季也会出现热射病吗？</span></p><p><span leaf="" style="color:rgba(0, 0, 0, 0.9);font-size:17px;font-family:mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height:1.6;letter-spacing:0.034em;font-style:normal;font-weight:normal;"><span textstyle="" style="font-size: 18px;color: rgb(0, 122, 170);font-weight: bold;">并非“夏季专属”</span></span></p><p><span leaf="" style="color:rgba(0, 0, 0, 0.9);font-size:17px;font-family:mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height:1.6;letter-spacing:0.034em;font-style:normal;font-weight:normal;"><br/></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">热射病是重症中暑的一种类型，是人体在高温高湿的环境**温调节中枢发生了问题，机体的产热明显大于散热，导致机体的核心温度明显升高。患者通常有两个典型症状：</span><span textstyle="" style="font-size: 16px;font-weight: bold;">高烧40℃以上；内脏受损严重。</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">北京大学第三医院急诊科副主任、主任医师杜兰芳介绍，</span><span textstyle="" style="font-size: 16px;font-weight: bold;">热射病对全身的脏器都会造成损害，</span><span textstyle="" style="font-size: 16px;">包括脑、心脏、肺、肝脏、肾脏等，</span><span textstyle="" style="font-size: 16px;font-weight: bold;">死亡风险很高。“</span><span textstyle="" style="font-size: 16px;">如果不积极干预和救治，10个患者中有6个以上的患者都会出现死亡。”</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">专家表示，</span></span><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">夏季是热射病的高发季节，但其他季节也会出现热射病。“</span></span><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">一种情况是</span><span textstyle="" style="font-size: 16px;font-weight: bold;">高温高湿环境</span><span textstyle="" style="font-size: 16px;">，比如泡温泉持续时间长，第二个就是</span><span textstyle="" style="font-size: 16px;font-weight: bold;">冬季跑马拉松的人员</span><span textstyle="" style="font-size: 16px;">，如果穿的衣服过多，产热大于散热也会发生热射病。”</span></span></p><p><span leaf="" style="color:rgba(0, 0, 0, 0.9);font-size:17px;font-family:mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height:1.6;letter-spacing:0.034em;font-style:normal;font-weight:normal;"><span textstyle="" style="font-size: 18px;color: rgb(0, 122, 170);font-weight: bold;">三类高危人群</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 18px;color: rgb(0, 122, 170);font-weight: bold;">冬季需要格外警惕热射病</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">专家提醒</span><span textstyle="" style="font-size: 16px;font-weight: bold;">老年人、婴幼儿</span><span textstyle="" style="font-size: 16px;">和</span><span textstyle="" style="font-size: 16px;font-weight: bold;">慢性病患者</span><span textstyle="" style="font-size: 16px;">为三类高危人群，需要格外警惕：</span></span></p><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">老年人群体，体温调节功能已经出现减退；</span></span></p></li><li><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">婴幼儿群体，体温调节功能还未发育成熟；</span></span></p></li><li><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;font-weight: bold;">慢性病患者</span><span textstyle="" style="font-size: 16px;">，比如</span><span textstyle="" style="font-size: 16px;font-weight: bold;">脑卒中或帕金森病</span><span textstyle="" style="font-size: 16px;">患者，无论哪个季节发生热射病的风险都比其他人群高。</span></span></p></li></ul><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">此外，冬季室内供暖后，北方地区室温常维持在25℃以上。</span><span textstyle="" style="font-size: 16px;font-weight: bold;">若长时间处于温暖且不通风的环境中，体温调节能力较弱、对温度不敏感人群可能在无意识状态下脱水，进而引发隐性体温升高。</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">“很多人冬季怕着凉在室内也穿得特别多，且房间没有通风，这种情况下可能会发生热射病，我们接诊的多数冬季热射病</span></span><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">患者都</span></span><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">属于这种情况。”</span></span><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">杜兰芳介绍。</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">专家还提醒，一些年轻人穿着过于紧身衣服进行高强度运动时，人体产生的热量剧增，也要警惕热射病风险。</span></span></p><p style="margin-bottom: 0px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 18px;color: rgb(0, 122, 170);font-weight: bold;">出现热射病症状 </span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 18px;color: rgb(0, 122, 170);font-weight: bold;">送医前有三步紧急处理法</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">出现哪些症状需要警惕热射病并及时就医？</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">北京大学第三医院急诊科副主任医师王军红介绍，“冬季在桑拿房或者运动的时候，如果出现</span><span textstyle="" style="font-size: 16px;font-weight: bold;">头晕乏力或是恶心</span><span textstyle="" style="font-size: 16px;">等症状，可能是中暑的早期表现。后期有些人会</span><span textstyle="" style="font-size: 16px;font-weight: normal;">在运动过程中出现</span><span textstyle="" style="font-size: 16px;font-weight: bold;">肌肉抽搐</span><span textstyle="" style="font-size: 16px;font-weight: normal;">的情况，</span><span textstyle="" style="font-size: 16px;">或者</span><span textstyle="" style="font-size: 16px;font-weight: bold;">尿量减少，出现酱油色的尿，</span><span textstyle="" style="font-size: 16px;">这提示肾脏出现早期损伤，需要到医院接受治疗。”</span></span></p><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">专家表示，热射病是急危重症，如果处理和救治不当，很容易危及生命。如果不慎出现热射病症状，在送医之前可以通过三步紧急处理方法来缓解。</span></span></p><ul style="list-style-type: square;" class=" list-paddingleft-2"><li><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">首先应</span><span textstyle="" style="font-size: 16px;font-weight: bold;">脱离高温高湿的环境</span><span textstyle="" style="font-size: 16px;">，到相对凉爽且通风好的地方。</span></span></p></li><li><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">如果穿的衣服较厚，可以</span><span textstyle="" style="font-size: 16px;font-weight: bold;">把紧身的厚衣物脱掉，用凉水擦拭身体或冰敷。</span></span></p></li><li><p style="margin-bottom: 24px;"><span leaf="" style="color: rgba(0, 0, 0, 0.9);font-size: 17px;font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.6;letter-spacing: 0.034em;font-style: normal;font-weight: normal;"><span textstyle="" style="font-size: 16px;">如果已经出现昏迷等情况，需要</span><span textstyle="" style="font-size: 16px;font-weight: bold;">把患者的头偏向一侧，保持呼吸道通畅。</span></span></p></li></ul><p></p><section style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0);margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: rgba(0, 0, 0, 0.9);font-family: PingFang SC, system-ui, -apple-system, system-ui, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;letter-spacing: 0.544px;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;white-space: 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