小儿中暑应该如何退热
发布时间:2011-01-04 10:39 来源:君健网
小儿中暑分两型:一是婴儿中暑,多发生在6个月以内的小婴儿,是由过暖引起,多见于寒冷季节。另一类型是年长儿中暑,病因与症状接近于成人,多发生于夏季。
轻症中暑时,婴儿应立即敞开衣被降温。物理降温难以奏效时,可给予药物降温:氯丙嗪加入0.9%的氯化纳液中静滴。对体温下降不理想者,可再加用地塞米松静脉滴注。年长儿应立即搬移至阴凉通风处或空调房间,用温水擦身以降体温,一般不用退热药,只有在下列情况之下可试用:
①急性上呼吸道感染伴有中暑高热不退时。
②中暑同时伴有其它急性感染。
③中暑高热不伴有循环功能不全,经各种降温措施,体温仍居高不下者,但用量不宜过大。 |
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