Moore Kathryn
Clinical Care Services, Air Evac Lifeteam, Nashville, Tennessee 37215, USA.
J Trauma Nurs. 2008 Apr-Jun;15(2):62-4; quiz 65-6. doi: 10.1097/01.JTN.0000327329.68029.b8.
The human core temperature is maintained by highly controlled regulatory mechanisms that balance heat production and heat loss. When this balance is interrupted, there are consequences for human physiology that are not yet fully understood. Extremes of temperature have a physiological impact on human cells. In some instances, such as cardiac arrest, traumatic brain injury, and organ transplantation, controlled hypothermia can be physiologically beneficial, but hypothermia in traumatic injury is distinctly different. In trauma, hypothermia often begins at the time of injury as a result of increased heat loss by conduction and convection due to exposure and reduced heat production due to decreased motor activity.
人体核心温度由高度受控的调节机制维持,这些机制平衡产热和散热。当这种平衡被打破时,会对人体生理产生尚未完全了解的后果。极端温度会对人体细胞产生生理影响。在某些情况下,如心脏骤停、创伤性脑损伤和器官移植,控制性低温可能在生理上有益,但创伤性损伤中的低温情况明显不同。在创伤中,低温通常在受伤时就开始,这是由于暴露导致传导和对流散热增加,以及运动活动减少导致产热降低所致。