puerperal heat stroke
Introduction
Introduction to calving heat stroke Puerperal heatstroke refers to the acute fever caused by the residual heat in the body during the calving period, which can cause the central body temperature regulation dysfunction, which is characterized by high fever, water, electrolyte disorder, circulatory failure and nervous system function damage. The disease has a rapid onset and rapid development. It deals with serious sequelae and even death. basic knowledge The proportion of sickness: 0.01% Susceptible people: good for postpartum women Mode of infection: non-infectious Complications: diarrhea
Cause
Causes of heatstroke
Cause:
When the outside temperature exceeds 35 ° C, the body is evaporated by sweat to dissipate heat. The evaporation of sweat requires air circulation to achieve. However, the old customs are afraid that the mother is windy and asks to close the window. The maternal is deeply indoors, the baotou cover is covered, the long-sleeved clothes and trousers are worn, and the cuffs and trousers are tight, so that the living room and the body environment are at a high temperature and high. The wet state seriously affects the sweating and heat dissipation of the mother, leading to the depression of the central nervous system and the occurrence of high fever, loss of consciousness and respiratory and circulatory failure. When the human body is in an extreme thermal load that exceeds the ability of the heat dissipation mechanism, heat is generated due to excessive heat accumulation in the body, and heat stroke occurs.
Prevention
Calving heatstroke prevention
The key to calving heatstroke is prevention, good health education, and the identification of aura symptoms of heatstroke. Break the old customs, keep the room ventilated, avoid the room temperature is too high, the maternity clothing should be wide and breathable, which is conducive to heat dissipation and comfort.
1. Women should eat some light and digestible diets 1 to 2 days after delivery. Afterwards, gradually increase the foods rich in protein, carbohydrates and proper fat. In addition, pay attention to vitamins and minerals. Eat more fresh fruits and vegetables.
2, the maternal delivery in the summer, should not pack the forehead, nor can you wear long clothes, trousers and socks. The house must be ventilated and cool, but care should be taken not to let the wind blow directly on the body to avoid catching cold.
3, the maternal room should be ventilated, clothing should be appropriate, to the degree of comfort, so as not to affect the heat. If there is a sign of heat stroke, the maternal should be immediately moved to a cool and ventilated place to untie the clothes.
4, drink plenty of water, especially to add salt water. Those with higher body temperature should immediately give cold water, alcohol rubbing bath, rapid physical cooling, and most patients with mild disease can be controlled.
Complication
Calving heatstroke complications Complications, diarrhea, heat stroke
Heat stroke, infection, diarrhea.
Symptom
Symptoms of calving heatstroke Common symptoms Face flushing coma, nausea, convulsions, sputum, hot, pale, pale, breath, puberty, lochia
1. Heatstroke aura: rapid onset, there is a short-term aura symptoms before the onset of the heat shock. Thirsty, sweating, palpitations, nausea, chest tightness, weakness in the limbs.
2. Mild heatstroke: The heat shock has not been treated in time, the maternal body temperature began to rise, followed by flushing, chest tightness, rapid pulse, shortness of breath, thirst, and scorpion covered with whole body.
3. Severe heatstroke: maternal body temperature is as high as 41 ° C ~ 42 ° C, showing a heat retention pattern, can appear convulsions, convulsions, coma. His face is pale, his breathing is short, his pulse is fine, his blood pressure is falling, his skin is dry and sweat-free, his pupils are narrowing, and his reflection is weakened. If you do not rescue in time, you may die within a few hours due to respiratory and circulatory failure. Even survivors often leave the irreversible sequela of the central nervous system.
Examine
Calving heatstroke check
From the onset season, the patient's home environment, maternity clothing and clinical performance, it is not difficult to diagnose heatstroke.
Diagnosis
Diagnostic diagnosis of calving heat stroke
Heatstroke in calving, but it needs to be differentiated from postpartum eclampsia and puerperal infection. Maternal infections can produce heatstroke and heatstroke, and patients who suffer from heatstroke can also develop sputum infection.
