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

A. Bradycardia is a common finding in patients with NEHS 心动过缓是NEHS患者的常见表现

B. Central nervous system (CNS) findings may not indicate dysfunction in persons with heat stroke CNS表现并不提示热射病患者器官功能障碍

C. Pulmonary examination often reveals hypoventilation and bradypnea in patients with EHS EHS患者肺部表现包括低通气和呼吸过缓

D. Acute kidney injury is a common complication of heat stroke found during renal examination AKI是热射病患者常见表现

正确答案：D. Acute kidney injury is a common complication of heat stroke found during renal examination AKI是热射病患者常见表现

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.

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