Wijdicks Eelco F M
Division of Critical Care Neurology and Neurological-Neurosurgical Intensive Care Unit, Mayo Medical Center, Rochester, MN, USA.
Rev Neurol Dis. 2004 Winter;1(1):10-5.
Reducing core temperature to protect the injured brain has become a new therapeutic measure. The scientific underpinnings based on animal experiments seem sound. Evidence of the therapy's effect in human trials is insufficient or even possibly absent, but the techniques to produce moderate hypothermia are available, without apparent significant complications, and are relatively easy to use for neurointensivists. This review summarizes the mechanisms of neuroprotection due to hypothermia and its application in clinical practice.
降低核心体温以保护受伤的大脑已成为一种新的治疗措施。基于动物实验的科学依据似乎合理。该疗法在人体试验中的效果证据不足甚至可能不存在,但产生适度低温的技术是可行的,没有明显的严重并发症,并且对于神经重症专家来说相对容易使用。这篇综述总结了低温引起神经保护的机制及其在临床实践中的应用。