Binnema R, van der Wal A, Visser C, Schepp R, Jekel L, Schröder P
Department of Extracorporeal Circulation, Medical Centre Leeuwarden, the Netherlands.
Perfusion. 2008 May;23(3):193-6. doi: 10.1177/0267659108099651.
This case report describes the successful treatment of severe accidental hypothermia of a 40-year-old woman. At arrival in the operating theatre her rectal temperature was 23 degrees C, her nasal temperature 21 degrees C and her periferal temperature 14 degrees C. The patient presented with a severe respiratory and metabolic acidosis which was corrected during cardiopulmonary bypass (CPB). She was rewarmed to obtain a rectal and nasal temperature of 34 degrees C. After 272 minutes, the patient was weaned successfully from CPB. The patient remained at mild hypothermia (34 degrees C) for 24 hours in the intensive care unit (ICU). The chest X-ray showed some signs of acute respiratory distress syndrome (ARDS) in spite of normal blood gas values. This improved within a few days and, after five days, she was transferred to the nursing department. On the seventh day, the patient was discharged from hospital without physical or neurological complaints.
本病例报告描述了一名40岁女性严重意外低温的成功治疗过程。到达手术室时，她的直肠温度为23摄氏度，鼻腔温度为21摄氏度，外周温度为14摄氏度。患者出现严重的呼吸性和代谢性酸中毒，在体外循环（CPB）期间得到纠正。她被复温至直肠和鼻腔温度达到34摄氏度。272分钟后，患者成功脱离体外循环。患者在重症监护病房（ICU）中维持轻度低温（34摄氏度）24小时。尽管血气值正常，但胸部X光显示有急性呼吸窘迫综合征（ARDS）的一些迹象。这在几天内有所改善，五天后，她被转到护理部。第七天，患者出院，无身体或神经方面的不适。
