Rosenberg J, Sessler D I
H:S Hvidovre Hospital, kirurgisk gastroenterologisk afdeling 235.
Ugeskr Laeger. 1999 May 17;161(20):2935-8.
Intraoperative mild hypothermia (core temperature 35-36 degrees) is common during major surgical procedures. Recent studies have shown that hypothermia may be related to the development of postoperative serious complications such as impaired platelet function with increased blood loss and transfusion requirements, postoperative morbid cardiac events, impaired wound healing, and prolonged hospitalization. Core hypothermia during surgery should therefore receive more attention as a risk factor for postoperative complications. The most effective prevention of intraoperative hypothermia is forced air warming combined with the infusion of warm fluids. The paper gives clinical guidelines for monitoring and prevention of intraoperative core hypothermia.
在大型外科手术过程中，术中轻度低温（核心体温35 - 36摄氏度）很常见。最近的研究表明，低温可能与术后严重并发症的发生有关，如血小板功能受损导致失血增加和输血需求增加、术后心脏不良事件、伤口愈合受损以及住院时间延长。因此，手术期间的核心低温作为术后并发症的一个危险因素应受到更多关注。预防术中低温最有效的方法是使用强制空气加温并输注温热液体。本文给出了监测和预防术中核心低温的临床指南。
