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[烧伤患者的体温过低:院前治疗的影响]

[Hypothermia in patients with burn injuries: influence of prehospital treatment].

作者信息

Lönnecker S, Schoder V

机构信息

Abteilung für Anaesthesie, Intensiv- und Rettungsmedizin, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.

出版信息

Chirurg. 2001 Feb;72(2):164-7. doi: 10.1007/s001040051286.

Abstract

Hypothermia following pre-hospital treatment of burn patients is a common risk with increasing lethality. Soon after admission to our burn unit, the body temperature of 212 adult patients with more than 5% total body surface area burned was documented. We found no influence of the time of pre-hospital care and cold-water treatment alone on the body temperature. If the patients were not anesthetized, the initial temperature was normal. Only the anesthetized and artificial ventilated patients were hypothermic. We conclude that hypothermia is not a problem of the non-anesthetized and cold-water-treated patient. However, all anesthetized patients must be carefully treated to avoid hypothermia as an important complication in the pre-hospital management.

摘要

烧伤患者院前治疗后体温过低是一种常见风险,致死率不断上升。在我们烧伤科收治212例烧伤面积超过体表面积5%的成年患者后,很快记录了他们的体温。我们发现院前护理时间和单纯冷水处理对体温没有影响。如果患者未接受麻醉,初始体温正常。只有接受麻醉和人工通气的患者体温过低。我们得出结论,体温过低不是未麻醉和接受冷水处理患者的问题。然而,所有接受麻醉的患者都必须得到仔细治疗,以避免体温过低成为院前管理中的重要并发症。

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