SEVERE HEAT-STROKE IN AN EXPERIENCED ATHLETE

被引:14
作者
LEE, RP [1 ]
BISHOP, GF [1 ]
ASHTON, CM [1 ]
机构
[1] WAGGA WAGGA BASE HOSPITAL, WAGGA WAGGA, NSW 2650, AUSTRALIA
关键词
D O I
10.5694/j.1326-5377.1990.tb136802.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 28-year-old experienced athlete suffered severe heat stroke after running competitively in hot, humid conditions. He developed disseminated rhabdomyolysis and acute renal failure. His course was complicated by multiple system organ failure and bismuth iodide (BIPP) toxicity. After almost five months in intensive care he recovered sufficiently to be transferred to the ward and subsequently to a rehabilitation hospital and was eventually able to return to work. Heat stroke can be prevented and this case provides several lessons for the running fraternity and the medical profession.
引用
收藏
页码:100 / 104
页数:5
相关论文
共 16 条
[1]   HYPOCALCEMIA AND HYPERCALCEMIA IN PATIENTS WITH RHABDOMYOLYSIS WITH AND WITHOUT ACUTE-RENAL-FAILURE [J].
AKMAL, M ;
BISHOP, JE ;
TELFER, N ;
NORMAN, AW ;
MASSRY, SG .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1986, 63 (01) :137-142
[2]  
BOUGES F, 1987, LANCET, V1, P224
[3]   A STUDY OF THE MECHANISM AND TREATMENT OF EXPERIMENTAL HEAT PYREXIA [J].
DAILY, WM ;
HARRISON, TR .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1948, 215 (01) :42-55
[4]  
DAVIS AM, 1987, JAMA-J AM MED ASSOC, V257, P626, DOI 10.1001/jama.1987.03390050052011
[5]  
DUKES MNG, 1988, MEYLERS SIDE EFFECTS, P439
[6]   EFFECT OF INFUSION OF MANNITOL-SODIUM BICARBONATE ON THE CLINICAL COURSE OF MYOGLOBINURIA [J].
ENEAS, JF ;
SCHOENFELD, PY ;
HUMPHREYS, MH .
ARCHIVES OF INTERNAL MEDICINE, 1979, 139 (07) :801-805
[7]  
Herrick R T, 1986, Ala Med, V55, P33
[8]  
KNOCHEL JP, 1989, DM-DIS MON, V35, P306
[9]   TC-99M PYROPHOSPHATE IMAGING IN ACUTE-RENAL-FAILURE ASSOCIATED WITH NONTRAUMATIC RHABDOMYOLYSIS [J].
PATEL, R ;
MISHKIN, FS .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1986, 147 (04) :815-817
[10]   MANAGEMENT OF HEAT EXHAUSTION IN SYDNEY THE SUN CITY-TO-SURF FUN RUNNERS [J].
RICHARDS, D ;
RICHARDS, R ;
SCHOFIELD, PJ ;
ROSS, V ;
SUTTON, J .
MEDICAL JOURNAL OF AUSTRALIA, 1979, 2 (09) :457-461