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Five treatment methods for central high-frequency heat treatment

by:Kehua     2022-08-07
Central hyperthermia, many people may not know how to deal with it, because most people have not learned formal medical methods, so it is best to send the patient to the hospital as soon as possible. Now, Xiaobian will join hands with Kehua to discuss with you. For information. Central hyperthermia Central hyperthermia In case of central hyperthermia, these 5 treatment methods need to be mastered. Central hyperthermia refers to the fever that occurs after damage to the anteromedial area of u200bu200bthe hypothalamus and the destruction of the heat dissipation mechanism due to lesions of the central nervous system. Fever characteristics suddenly rise to above 40°C; body temperature is unevenly distributed, body and head temperature is high but limb temperature is not high, bilateral temperature can be asymmetric, with a difference of more than 0.5°C; whole body skin is dry without sweat, extremities are cold; body temperature is easy Fluctuates with changes in outside temperature. Treatment methods Human Health Edition Neurology (8-year 2nd edition), page 163, wrote that for patients with central high fever, physical cooling should be the main method. At present, the commonly used physical cooling methods include: wearing an ice cap; ice compressing the large blood vessels of the limbs; alcohol bathing; 20 minutes later, take out again, and repeat) and other measures. Five treatment methods 01 'Sandwich' method for cooling with an ice blanket An ice blanket is placed on the patient's back and front, and the contact parts of the front ice blanket are the front chest (shoulder level), abdomen, and front of both lower extremities. A single sheet is used to separate the ice blanket from the skin. The cooling effect of this method is good, which may be related to increasing the body surface area of u200bu200bthe patient in contact with the ice blanket and accelerating the conduction heat dissipation. Moreover, the two-layer ice blanket keeps the patient in a low temperature environment, and the air temperature around the patient decreases, which accelerates the radiation heat dissipation. However, due to the low temperature of the ice blanket, some patients may experience adverse reactions such as skin redness, diarrhea, arrhythmia, chills, and agitation. 02 Intravascular cooling Advantages: rapid, stable and controllable. Place the basic liquids such as glucose and sodium chloride in a 4°C refrigerator to cool down, and then mix the therapeutic drugs into the low-temperature liquid. After mixing, confirm that there are no crystals, precipitations and drug particles in the solution, then wrap it with a self-made cotton sleeve and give the patient intravenously. Input, the total amount of low-temperature liquid medicine input is 1500-2000 ml, and the treatment is continued for 3 days. If the body temperature is below 38.5°C for 24 consecutive hours, the hypothermic solution is discontinued. However, it has been suggested that although intravenous infusion of 4-20°C hypothermic fluid is an effective method for inducing hypothermia, the possible complications, contraindications, and contraindicated populations of this technique remain to be further studied. Central hyperthermia 03 Hibernating Mixture Chlorpromazine (Dongmianling) 50 mg + Meperidine (Meteridine) 100 mg + Promethazine (Phenagen) 50 mg, add 5% glucose solution or normal saline for intravenous drip. Meperidine (Dulentin) 100 mg + promethazine (phenergan) 50 mg + acepromazine 20 mg, added to 5% glucose solution or normal saline for intravenous drip. Chlorpromazine (Dongmianling) 50 mg + promethazine (phenergan) 50 mg, added to 5% glucose solution or normal saline for intravenous drip. Central high fever is usually treated with Hibernating Mixture and a cooling blanket, and the effect is very good! However, this will also affect the observation of the patient's condition, and clinical use should be cautiously based on the patient's condition! Intravenous administration of 1 g of acetaminophen, ineffective intravenous infusion of 1 g of antipyrine methylamine methane (analgin), and then intravenous infusion of 4 ℃ ice saline 500 mL. Acetaminophen may be administered repeatedly, but not to exceed 3 g/day. 05 Bromocriptine 3.75 mg daily, can be increased to 7.5 mg, 3 times a day, for 5 to 7 days. In recent years, it has been found in foreign countries that central hyperthermia is related to the dysfunction of dopaminergic receptors in the brain, and bromocriptine is an ergotine derivative and a dopamine receptor agonist, which can pass through the blood-brain barrier; its cooling mechanisms include: direct Stimulates dopamine receptors; converts levodopa to dopamine independently of presynaptic enzymes; reduces plasma catecholamine concentrations. It can effectively supplement the lack of dopamine in the brain and treat central high fever. Summary To sum up, there are two main types of countermeasures for patients with central high fever in the face of their soaring body temperature: drugs or/and physical methods. Physical cooling is better than drug cooling, at least with fewer side effects than some drugs. In other words, physical cooling can be performed first, and drugs can be used when dissatisfied. Central hyperthermia is very important, don't delay it, otherwise it may cause great damage to your body and even affect your life. If you want to know more, then pay attention to Kehua.
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