意外低温伴心脏骤停：体外循环复温后的恢复情况

Accidental hypothermia with cardiac arrest: recovery following rewarming by cardiopulmonary bypass.

作者信息

Bolgiano E, Sykes L, Barish R A, Zickler R, Eastridge B

机构信息

Division of Emergency Medicine, University of Maryland Medical System, Baltimore.

出版信息

J Emerg Med. 1992 Jul-Aug;10(4):427-33. doi: 10.1016/0736-4679(92)90271-t.

DOI:10.1016/0736-4679(92)90271-t

PMID:1430979

Abstract

A 22-year-old man eventually had a good neurologic recovery following prolonged coma after extracorporeal rewarming from profound hypothermia (24 degrees C) due to exposure. The patient was in full arrest for 60 minutes prior to institution of cardiopulmonary bypass (CPB). Total bypass time was 50 minutes. Cardiopulmonary bypass is the current rewarming method of choice for severe hypothermia associated with a persistent nonperfusing cardiac rhythm. CPB provides the most rapid core rewarming with the additional benefit of circulatory support during the period of cardiac instability.

摘要

一名22岁男性因暴露导致深度低温（24摄氏度），在体外复温后长时间昏迷，最终神经功能恢复良好。在进行体外循环（CPB）之前，患者心脏完全停搏60分钟。总体外循环时间为50分钟。体外循环是目前与持续性无灌注心律相关的严重低温的首选复温方法。体外循环能实现最快速的核心复温，且在心脏不稳定期间具有循环支持的额外益处。