Varon Joseph, Marik Paul E
The University of Texas Health Science Center, St. Luke's Episcopal Hospital, 2219 Dorrington Street, Houston, TX 77030, USA.
Resuscitation. 2006 Mar;68(3):421-3. doi: 10.1016/j.resuscitation.2005.07.020. Epub 2006 Feb 2.
Induced hypothermia has been demonstrated to improve outcome following cardiac arrest and is now widely endorsed. However, the optimal method of cooling and the identification of patients most likely to benefit from this therapy remains to be determined. We report a patient in whom there was a long delay in return of spontaneous circulation (at least 45 min) and the initiation of induced hypothermia (12 h) who made an almost complete neurological recovery following cardiac arrest from warm-water near-drowning.
低温诱导已被证明可改善心脏骤停后的预后，目前已得到广泛认可。然而，最佳的降温方法以及确定最有可能从该治疗中获益的患者仍有待确定。我们报告了一名患者，其自主循环恢复延迟较长（至少45分钟）且低温诱导开始较晚（12小时），该患者在温水性近溺心脏骤停后实现了几乎完全的神经功能恢复。
