Puerperal heat stroke treatment

Staff members principle is not to change the temperature and ventilation environment, rapid cooling, water promptly corrected. Electrolyte imbalance and acidosis. Quickly lower the temperature is the key to a successful rescue. First of all patients should be placed in the shade. Ventilation, excessive maternal off clothing, to the indoor temperature fell to 25 ℃. Encourage drinking cold water, and use cold water. Ethanol and other scrub. In the head, neck, armpit. Groin, Yan Waterloo superficial vascular ice bag placed in the area, the rapid physical cooling. Massage limbs, and promote blood circulation limbs have happened circulatory failure to cautiously uses physical cooling, in order to avoid increased vasoconstriction circulatory failure. Attention correct brain edema can be 20% or 25% mannitol sorbitol rapid infusion of 250 ml. Convulsion available diazepam, magnesium sulfate, and other anticonvulsant. At the same time use drugs cooling, with 4 ℃ glucose and sodium chloride injection 1000-1500 ml intravenous drip. 25-50 mg plus chlorpromazine hydrochloride injection in 50 ml of glucose infusion, 1 - 2 hours drops End 4-6 hours to repeat. When blood pressure fall. Chlorpromazine hydrochloride suspended use of dexamethasone, when the emergency use of chlorpromazine can also increase promethazine hydrochloride intravenous drip, the temperature dropped to 38 percent, the stop cooling. At the same time in the cooling water should be actively correct electrolyte and acid poisoning led by the medium, 24-hour infusion of control in the 2000-3000 ml. Note added potassium and sodium. High fever coma or convulsions of critically ill patients after cooling temperature physical rehabilitation therapy or to be dormant, hibernating common No. 1 (pethidine lOOmg. Chlorpromazine 50 mg, 50 rog promethazine) Dayantang half of intravenous injection. When cool to be drug-monitoring of blood pressure, heart rate, breathing and other vital signs. Strengthen care and pay attention to body temperature, blood pressure.悄heart and kidney conditions. Given antibiotics to prevent infection. A heart, brain and kidney complications, Should actively symptomatic treatment. Gan Mao spent with heart failure Bingdeng: Nigelimi with respiratory failure. Lobeline symptomatic treatment, if necessary, to tracheal intubation.