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<p>다한증 수술 한분들은 열탈진(열사병)도 쉽게 올수 있다네요</p><p>교감신경절제했던 20대 건장한 청년이 </p><p>10km 구보후에 생명이 위험할정도의 열탈진이 와서 사망할뻔 했다는 이야기인데...</p><p>근데 다한증 수술한 분들 이제 4급 아니라면서요?</p><p>군대도 그냥 현역으로 가야한다니...</p><p>이건 아니라고 봅니다. </p><p><br></p><div class="cit" style="font-size: 0.8465em; line-height: 1.45em; color: rgb(0, 0, 0); font-family: arial, helvetica, clean, sans-serif;"><span role="menubar"><a href="http://www.ncbi.nlm.nih.gov/pubmed/17720429#" title="The Annals of thoracic surgery." abstractlink="yes" alsec="jour" alterm="Ann Thorac Surg." role="menuitem" aria-expanded="false" aria-haspopup="true" style="color: rgb(102, 0, 102); border-bottom-width: 0px; text-decoration: underline;">Ann Thorac Surg.</a></span> 2007 Sep;84(3):1025-7.</div><h1 style="font-size: 1.231em; margin: 0.375em 0px; line-height: 1.125em; color: rgb(0, 0, 0); font-family: arial, helvetica, clean, sans-serif;">Is previous thoracic sympathectomy a risk factor for exertional heat stroke?</h1><div class="auths" style="font-size: 0.923em; color: rgb(0, 0, 0); font-family: arial, helvetica, clean, sans-serif;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Sihoe%20AD%5BAuthor%5D&cauthor=true&cauthor_uid=17720429" style="color: rgb(102, 0, 102); border-bottom-width: 0px; text-decoration: underline;">Sihoe AD</a><span style="font-size: 0.8461em; line-height: 1.6363em; position: relative; vertical-align: baseline; top: -0.5em;">1</span>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Liu%20RW%5BAuthor%5D&cauthor=true&cauthor_uid=17720429" style="color: rgb(102, 0, 102); border-bottom-width: 0px; text-decoration: underline;">Liu RW</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Lee%20AK%5BAuthor%5D&cauthor=true&cauthor_uid=17720429" style="color: rgb(102, 0, 102); border-bottom-width: 0px; text-decoration: underline;">Lee AK</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Lam%20CW%5BAuthor%5D&cauthor=true&cauthor_uid=17720429" style="color: rgb(102, 0, 102); border-bottom-width: 0px; text-decoration: underline;">Lam CW</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Cheng%20LC%5BAuthor%5D&cauthor=true&cauthor_uid=17720429" style="color: rgb(102, 0, 102); border-bottom-width: 0px; text-decoration: underline;">Cheng LC</a>.</div><div class="afflist" style="color: rgb(0, 0, 0); font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 10.2856006622314px; zoom: 1;"><h3 style="font-size: 1.0769em; line-height: 1.2857; margin: 0.5em 0em; color: rgb(114, 65, 40); zoom: 1;"><a title="Open/close author information list" class="jig-ncbitoggler ui-widget ui-ncbitoggler" href="http://www.ncbi.nlm.nih.gov/pubmed/17720429#" aria-disabled="false" role="button" aria-expanded="false" style="font-size: 13.9996995925903px; color: rgb(102, 0, 102); padding-left: 16px; position: relative; display: block; border-bottom-width: 0px; outline: none; font-family: arial, sans-serif !important;"><span class="ui-ncbitoggler-master-text">Author information</span><span class="ui-icon ui-icon-triangle-1-e" style="display: inline; text-indent: -99999px; overflow: hidden; width: 16px; height: 16px; position: absolute; left: 0px; border: none; border-bottom-left-radius: 3px; border-bottom-right-radius: 3px; margin: 0px; padding: 0px; right: 0px; top: 0px; background: url(http://static.pubmed.gov/portal/portal3rc.fcgi/4066669/img/3974597) 0px -21px no-repeat scroll transparent;"></span></a></h3><div class="ui-helper-reset" aria-live="assertive" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; line-height: 1.3; list-style: none;"></div></div><div class="abstr" style="margin: 1em auto auto; color: rgb(0, 0, 0); font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 10.2856006622314px;"><h3 style="font-size: 1.0769em; line-height: 1.2857; margin: 0px; color: rgb(152, 87, 53); display: inline;">Abstract</h3><div class=""><p style="margin-bottom: 0.5em;"><abstracttext>We report the case of a physically fit young man who presented with severe, life-threatening heat stroke after running a 10 km road race. He had previously received bilateral thoracic sympathectomy for axillary hyperhidrosis at another hospital, and was known to have upper body and limb anhidrosis. Thoracic sympathectomy can result in reduced sweating and disturbed peripheral vascular and heart rate responses. Patients should be warned that these mechanisms may play a role in the development of exertional heat stroke.</abstracttext></p></div></div><div class="aux" style="font-size: 13px; margin: 1.2em auto auto; line-height: 1.4em; color: rgb(0, 0, 0); font-family: arial, helvetica, clean, sans-serif;"><div class="resc" style="color: rgb(87, 87, 87);"><dl class="rprtid" style="margin: 0px 15px 0px 0px; font-size: 0.8465em; line-height: 1.4em; display: inline;"><dt style="display: inline; padding: 0px; margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px !important; white-space: nowrap;">PMID:</dt> <dd style="margin: 0px; display: inline; padding: 0px; white-space: nowrap;">17720429</dd> <dd style="margin: 0px; display: inline; padding: 0px; white-space: nowrap;">[PubMed - indexed for MEDLINE]</dd></dl></div></div><p><br></p>
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보상성 다한증
다한증 수술과 heat stroke (열탈진) 의 관계.
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15.08.14 20:41
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첫댓글 facial anhidrosis and disturbed cardiovascular responses to temperature after sympathectomy for hand sweating
"Although thoracic sympathectomy is commonly used to reduce upper limb sweating, it may also lead to facial anhidrosis and disturbed cardiovascular responses to temperature. The resultant effect on overall body heat loss has not been documented. We present a case of a young patient with previous thoracic sympathectomy who suffered severe heat stroke after heavy exercise.
http://ats.ctsnetjournals.org/cgi/content/full/84/3/1025