de Caen Allan
Division of Pediatric Intensive Care, Stollery Children's Hospital, Edmonton, Canada.
Lancet. 2002 Nov 2;360(9343):1394-5. doi: 10.1016/S0140-6736(02)11392-4.
Profound hypothermia is managed more and more with extracorporeal life support technology, especially when a patient's circulation is compromised. Many centres do not have rapid access to this service, however, and are still dependent on active internal rewarming techniques--eg, peritoneal and pleural lavage. Such interventions are invasive, and associated with inherent risk. Here, we report our successful experience with an active external rewarming technique in children with profound hypothermia (core temperature <20 degrees C).
越来越多地采用体外生命支持技术来处理深度低温，尤其是在患者循环功能受损时。然而，许多中心无法快速获得这项服务，仍依赖主动体内复温技术，如腹膜和胸腔灌洗。此类干预具有侵入性，且存在固有风险。在此，我们报告我们在深度低温（核心体温<20摄氏度）儿童中使用主动体外复温技术的成功经验。
