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曾有报告,在严重中暑病例可见明显出血倾向。本文报告1例14岁男性,在夏天足球锻炼时发生中署。昏迷、低血压、体温过高(41.3℃)、脱水、抽搐。6小时后发现大便潜血。第2天结膜下和下肢散在点状出血。血小板由15万降至2.1万,纤维蛋白原降至200毫克％,凝血酶原时间增至36秒,部分凝血活素活化时间50秒,Ⅴ、Ⅷ因子降至正常的6％、5％,副凝试验强阳性,提示存在弥漫性血管内凝血。经用肝素每4小时5,000单位7天,凝血象逐渐好转。加上常规的补液、降温、处理肾衰竭等治疗,病人虽入院时预后很差,但终于痊愈出院。作者认为
There have been reports of severe bleeding in severe heat stroke cases. This article reports a 14-year-old man who had a midfielder during summer football exercises. Coma, hypotension, hyperthermia (41.3 ℃), dehydration, convulsions. Feces occult blood was found after 6 hours. Day 2 Subconjunctival and lower extremity scattered punctate bleeding. Platelets decreased from 150,000 to 21,000, fibrinogen down to 200 mg%, prothrombin time increased to 36 seconds, partial activation of thromboplastin time of 50 seconds, â ... ¢, factor â ... ¡to 6% of normal, 5% Vice coagulation test strongly positive, suggesting the existence of diffuse intravascular coagulation. With heparin 5,000 units every 4 hours for 7 days, clotting gradually improved. Coupled with conventional rehydration, cooling, treatment of renal failure and other treatment, although the prognosis of patients admitted poorly, but finally recovered and discharged. the author thinks