The influence of high temperatures on the human body, especially with regard to heat‐stroke

The influence of high temperatures on the human body, especially with regard to heat‐stroke
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高温对人体的影响,尤其是中暑

DOI:
10.1002/path.1700130114
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发表时间:
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期刊:
The Journal of Pathology and Bacteriology
影响因子:
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通讯作者:
H. Sutton
H. Sutton
中科院分区:
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文献类型:
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作者:
H. Sutton

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IN the investigation of the particular association of high temperature and altered iiietabolisni which we call “fever,” one of the greatest proLleiiis has been, and still is, the accurate definition and relative inipcirtauue of the parts played by such factors as inanition, toszinia, and hyperpyresia. Help has been sought for the estimation of the eflects of high temperature on the body from the knowledge gained in researches on certain pyrexial conditions allied to fever. Heat-stroke iu particular is especially fitted for the proper understanding of this eslimation, because in it a condition of high temperature may be produced in a previously normal individual by varying the external atmospheric conditions in a perfectly controllable way while toxic influences are coiiipletely eiiniinated. For though increased production of heat by niuscnlar work does assist in the upsetting of the balance of heat regulation, yet the rise of body temperature in heat-stroke depends, essentially, on the external temperature and the degree of humidity of the surrounding air, and will occur when these reach a certain point even though muscular action is carefully avoided.In the investigation of heat-stroke it was necessary to clear the way of certain fal1: icies relating to the origin of the condition. First, it was realised that the previous term “sunstroke” was a misnomer, for in a large iiiajority of cases the direct action of the sun’s rays is absent, and in any case is responsible for only a small percentage of the resulting cases. External heat, then, was found to have a marked influence only whenassociated with a certain degree of atmospheric humidity, and later the importance of a high reading of the wet-bulb thermometer was definitely proved. The apparent epidemic character of the occurrence of heat-stroke cases has led some investigators (eq Sambon (1898”)) to the hypothesis of a specific germ, but it imy be accepted as indisputable that a high wet-bulb temperature is the esscntial factor in the production of hcnt-stroke. Conclusive evidence on