我部于1984年抢救长跑中暑21例,重症型占14例,其中4例合并上消化道出血,无一例死亡及后遗症。现就4例合并上消化道出血的情况报告如下。临床资料一、一般情况 4例患者均为男性学员、年龄21～25岁,身体健康,无胃病史。中暑发生的时间和气象条件:1例发生在4月1日16时,气温21.9℃,相对温度74％,风速4米/秒;3例发生在4月4日16时,气温29.6℃,相对湿度70.3％、风速3米/秒。4例患者均系在10公里负重12公斤越野赛跑中发生中暑。二、临床表现 4例患者均在长跑冲线后出现胸闷、大汗、呼吸急促、面色苍白、视物模糊,继而意识不清,昏迷等症状;经休息降温等处理,15～25分钟转入兴奋阶段,表现话多、哭喊、挣扎起身、四肢肌肉反复痉挛,腋下体温38.5℃～40℃,其中2例症状持续120分钟;1例持 In 1984, the department rescued 21 cases of long-distance stroke, severe type accounted for 14 cases, including 4 cases of upper gastrointestinal bleeding without death and sequelae. Now on 4 cases of upper gastrointestinal bleeding report as follows. Clinical data First, the general situation 4 patients were male students, aged 21 to 25 years old, good health, no history of stomach. One case occurred at 16 o’clock on the April 1, the temperature was 21.9 ℃, the relative humidity was 74% and the wind speed was 4 m / s. Three cases occurred at 16 o’clock on the April 4, the temperature was 29.6 ℃, Humidity 70.3%, wind speed 3 m / s. All 4 patients suffered heat stroke in a 12-kilogram cross-country race of 10 kilometers. Second, the clinical manifestations of 4 patients in the long-distance race puncture chest tightness, sweating, shortness of breath, pale, blurred vision, and then unconsciousness, coma and other symptoms; after cooling and other treatment, 15 to 25 minutes into Excitement stage, the performance of many words, crying, struggling to get up, muscle spasms repeatedly limbs, armpit body temperature 38.5 ℃ ~ 40 ℃, of which 2 cases continued for 120 minutes; 1 case of