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2014, Number 3

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Rev Mex Pediatr 2014; 81 (3)

Heat stroke in the children

Pinacho-Velázquez JL

Language: Spanish
References: 27
Page: 115-119
PDF size: 104.47 Kb.


ABSTRACT

Heat stroke, both classic and post exercise, is a severe pathology, represents a threat to the life of the child. There is failure in the thermoregulation and alteration in the mechanisms that regulate the inflammatory response and coping with the stress, facilitates the progression of stress by heat to heat stroke and contribute in the severity of tissue damage. Children are more prone to develop heat stroke. This entity is defined as an elevation in body temperature greater than 40.6 oC, accompanied by signs of neurologic dysfunction. Complications can be severe and include: acute renal failure, liver failure, alterations hydroelectrolytic, thrombocytopenia, rhabdomyolysis, cardiovascular abnormalities, disseminated intravascular coagulation and multiple organ failure. Treatment is based on immediate cooling, support the organic function of systemic, prevention, and management of complications. Prognosis is related to severity of the damage in the central nervous system, and intensity and duration of the hyperthermia. Prevention is a notable aspect in the prevention of heat stroke in children.


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