Exertional heat stroke in a marathon runner with extensive healed deep burns: A case report

被引：7

作者：

Seth P. ^{[1
,2
,3
]}

Juliana P. ^{[1
,2
,3
]}

机构：

[1] Department of Emergency Medicine, Singapore General Hospital

[2] Royal College of Surgeons of Edinburgh, Edinburgh

来源：

International Journal of Emergency Medicine | / 4卷 / 1期

关键词：

Heat Production; Sweat Gland; Heat Stroke; Marathon Runner; Military Recruit;

D O I：

10.1186/1865-1380-4-12

中图分类号：

学科分类号：

摘要：

Exertional heat illness typically occurs over hours in younger athletic patients or military recruits who exercise at elevated temperatures for a sufficient period of time to cause the rate of heat production to exceed the capacity of the body to dissipate heat. Since the physiological response to exercise includes cutaneous vasodilation and sweating, any limitation of such a response can cause rapid hyperthermia and thus heat stroke. One such condition is extensive burns healed by cicatrisation of the skin where the scar and grafted skin surface do not have functional sweat glands and are unable to lose heat in response to high temperatures. The authors report one unique case of a female marathon runner with exertional heat stroke who had recovered from deep second and third degree burns over approximately 50% of her body a few years ago. © 2011 Seth and Juliana; licensee Springer.

引用

共 10 条

[1]

Seto C.K., Way D., O'Connor N., Environmental illness in athletes, Clin Sports Med, 24, 3, pp. 695-718, (2005)

[2]

Coris E.E., Ramirez A.M., Van Durme D.J., Heat illness in athletes: The dangerous combination of heat, humidity and exercise, Sports Med, 34, 1, pp. 9-16, (2004)

[3]

The evaluation and management of heat injuries in the emergency department, EMP, 8, 6, (2006)

[4]

Simon H.B., Hyperthermia, N Engl J Med, pp. 329-483, (1993)

[5]

Rav-Acha M., Hadad E., Epstein Y., Heled Y., Moran Daniel S., Fatal exertional heat stroke: A case series, Am J Med Sci, pp. 328-384, (2004)

[6]

Shapiro Y., Epstein Y., Ben-Simchon C., Tsur H., Thermoregulatory responses of patients with extensive healed burns, J Appl Physiol, 53, pp. 1019-1022, (1982)

[7]

Wilmore D.W., Mason Jr. A.D., Johnson D.W., Pruitt Jr. B.A., Effect of ambient temperature on heat production and heat loss in burn patients, J Appl Physiol, 38, 4, pp. 593-597, (1975)

[8]

Fu X.-B., Sun T.-Z., Li X.-K., Sheng Z.-Y., Morphological and distribution characteristics of sweat glands in hypertrophic scar and their possible effects on sweat gland regeneration, Chin Med J, 118, 3, pp. 186-191, (2005)

[9]

McGibbon B., Beaumont W.V., Strand J., Paletta F.X., Thermal regulation in patients after the healing of large deep burns, Plast Reconstr Surg, 52, 2, pp. 164-170, (1973)

[10]

Roskind J.L., Petrofsky J., Lind A.R., Paletta F.X., Quantitation of thermoregulatory impairment in patients with healed burns, Ann Plast Surg, 1, 2, pp. 172-176, (1978)

← 1 →