Russo S, Timmermann A, Radke O, Kerren T, Bräuer A
Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Georg-August-Universität, Robert-Koch-Strasse 40, 37099 Göttingen.
Anaesthesist. 2005 Dec;54(12):1209-14. doi: 10.1007/s00101-005-0930-2.
In emergency medicine accidental hypothermia in non-traumatized patients is a rare situation. To emphasize the need for a precise preclinical temperature measurement, two cases of accidental hypothermia (28.2 degrees C and 29.3 degrees C core temperature) are presented which occurred under conditions that did not give a direct suspicion of hypothermia. In one case the immediate diagnosis lead to complete convalescence, the other patient died of multiple organ failure. The primary diagnosis, diagnostic methods and therapy as well as the primary treatment are discussed.
在急诊医学中，非创伤性患者发生意外低温是一种罕见情况。为强调临床前精确体温测量的必要性，本文介绍了两例意外低温病例（核心体温分别为28.2摄氏度和29.3摄氏度），这两例发生在未直接怀疑低温的情况下。其中一例经及时诊断后完全康复，另一例患者死于多器官功能衰竭。文中讨论了初步诊断、诊断方法、治疗以及初步治疗情况。
