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[MEDSCAPE]:你是否熟悉热射病的诊治要点?(5/6)
2017年09月14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4. 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?

A. Hypoglycemia is more common in patients with NEHS than in patients with EHS NEHS患者低血糖较EHS患者更常见

B. Aminotransferase levels typically peak at 48 hours, but may take as long as 2 weeks to peak 转氨酶水平通常在48小时达峰,但也可以在2周时达到峰值

C. White blood cell counts are not typically elevated in patients with heat stroke 热射病患者白细胞计数通常不升高

D. Cerebrospinal fluid (CSF) protein levels are typically low in patients with heat stroke 热射病患者脑脊液(CSF)蛋白水平一般较低

正确答案:B. Aminotransferase levels typically peak at 48 hours, but may take as long as 2 weeks to peak 转氨酶水平通常在48小时达峰,但也可以在2周时达到峰值

Aspartate aminotransferase and alanine aminotransferase levels commonly rise to the tens of thousands during the early phases of heat stroke and peak at 48 hours, but they may take as long as 2 weeks to peak.

在热射病早期,AST与ALT常常升高至数万,并在48小时达到峰值,但部分患者也可在2周时达峰。

Hypoglycemia may occur in patients with EHS and in patients with fulminant hepatic failure.

EHS患者与爆发性肝衰患者可出现低血糖。

Elevated white blood cell counts commonly are observed in patients with heat stroke, and levels as high as 40,000 cells/μL have been reported. Platelet levels may be low. CSF cell counts may show a nonspecific pleocytosis, and CSF protein levels may be elevated as high as 150 mg/dL.

热射病患者常见白细胞升高,甚至可高达40,000/μL。血小板计数可降低。CSF检查可出现非特异性细胞计数增多,蛋白水平可高达150 mg/dL。

For more on the workup of heat stroke, read here.

Which of the following is accurate about the treatment of heat stroke?有关热射病的治疗,以下说法哪个是准确的?

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