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[MEDSCAPE]:你是否熟悉热射病的诊治要点?(4/6)
2017年09月10日 临床话题, 模拟诊室 暂无评论

Fast Five Quiz: Are You Familiar With Key Elements Regarding Heat Stroke?

Richard H. Sinert, DO

August 02, 2017

问题3. Which of the following is accurate about the physical examination of patients with heat stroke? 有关热射病患者体格检查的以下说法哪个是准确的?

Acute kidney injury is a common complication of heat stroke and may be due to hypovolemia, low cardiac output, and myoglobinuria (from rhabdomyolysis). Patients may exhibit oliguria and a change in the color of urine.

急性肾损伤是热射病的常见并发症,可能病因包括低血容量,低心排和血红蛋白尿(横纹肌溶解引起)。患者可能表现为少尿及尿液颜色改变。

Tachycardia to rates exceeding 130 beats/min is common. Symptoms of CNS dysfunction are present universally in persons with heat stroke. Symptoms may range from irritability to coma. Patients with heat stroke commonly exhibit tachypnea and hyperventilation caused by direct CNS stimulation, acidosis, or hypoxia.

心动过速(心率可超过130次/分)很常见。热射病患者通常可出现CNS功能障碍的表现。症状可从易激惹到昏迷。由于CNS直接刺激、酸中毒或缺氧,热射病患者通常表现为呼吸频数及过度通气。

For more on the physical examination of patients with heat stroke, read here.

Which of the following is accurate regarding the workup of heat stroke? 有关热射病实验室检查的以下说法哪个是准确的?

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