Myojo Yasuhiro, Tohyama Kazuki, Taki Yasunori, Kimoto Fumihiko
Department of Anesthesia and Intensive Care, Takaoka City Hospital, Takaoka 933-8550.
Masui. 2002 Oct;51(10):1142-4.
A 62-year-old man was transported to the emergency room. He was in the state of shock and hypothermia of 34.2 degrees C. Fluid therapy was started using a HOTLINE to raise the body temperature, with vasopressors, vitamin B1 and sodium bicarbonate after checking arterial blood gas. Diagnosis of panperitonitis was made and operation was started immediately. We used HOTLINE before and during the operation. Body temperature returned to normal ranges, and hemodynamic state was stabilized at the end of the operation. After the operation, he received controlled artificial ventilation and nutrition support with intravenous hyperalimentation. Though he was complicated with disseminated intravascular coagulation, he went to general ward 17 days, and was discharged at 47 days after the operation. Sepsis accompanied with hypothermia leads to poor prognosis. We used fluid therapy with rapid-heating, and obtained good outcome. HOTLINE is effective for hypothermia in an emergency patient, because its effect is sure and does not obstruct the examination and management.
一名62岁男性被送往急诊室。他处于休克状态，体温为34.2摄氏度。在检查动脉血气后，开始使用热线进行液体疗法以提高体温，并使用血管升压药、维生素B1和碳酸氢钠。诊断为全腹膜炎，并立即开始手术。我们在手术前和手术期间使用了热线。体温恢复到正常范围，手术结束时血流动力学状态稳定。术后，他接受了控制性人工通气和静脉高营养的营养支持。尽管他并发了弥散性血管内凝血，但术后17天转入普通病房，47天后出院。伴有体温过低的脓毒症预后不良。我们采用快速升温的液体疗法，取得了良好的效果。热线对急诊患者的体温过低有效，因为其效果确切且不影响检查和治疗。
