Dehn J, Christensen A J, Schønemann N K
Arhus Universitetshospital, Arhus Amtssygehus, anaestesiologisk afdeling.
Ugeskr Laeger. 2000 Sep 4;162(36):4817-8.
Patients suffering from severe accidental hypothermia are by many authors recommended to be rewarmed by extra-corporal circulation. Some authors argue in favour of other approaches in treatment of severe hypothermia, as long as the patient has a sufficient circulation. One of these is rewarming using forced air warming. We rewarmed a patient with severe hypothermia using forced air warming. The patient arrived with a core temperature of 25.9 degrees C and had sufficient circulation despite of atrial fibrillation. The patient was rewarmed to a core temperature of 36.1 degrees C over seven hours. No other arrhythmias or complications were observed.
许多作者建议,患有严重意外低温症的患者应通过体外循环进行复温。一些作者主张,只要患者循环充足,在治疗严重低温症时可采用其他方法。其中一种方法是使用强制空气升温进行复温。我们使用强制空气升温为一名患有严重低温症的患者进行了复温。该患者入院时核心体温为25.9摄氏度,尽管存在房颤,但循环充足。在七个小时内,该患者的核心体温被复温至36.1摄氏度。未观察到其他心律失常或并发症。