Fazekas Brigitta, Simon Eva, Fülesdi Béla
Debreceni Egyetem, Orvos- és Egészségügyi Centrum, Aneszteziológia és Intenzív Terápiás Tanszék, Debrecen, Nagyerdei krt. 98. 4032.
Orv Hetil. 2009 Apr 19;150(16):733-41. doi: 10.1556/OH.2009.28598.
The importance of diagnosing and preventing intraoperative hypothermia has come into the focus of interest in the past decade. It has been proved that core temperature decreases by 1-3 degrees C during the course of long-time anesthesias. As well as it has been proven that even mild hypothermia (core temperature less than 36 degrees C) leads to numerous perioperative complications influencing the outcome of the patients, such as perioperative cardiac abnormalities, increased bleeding risk and need for transfusion, decreased metabolism of the medications as well as prolonged wound healing process. It is also clear that treatment of intraoperative hypothermia may double the perioperative costs. Therefore, in the present review we intend to summarize the recent knowledge on the development, consequences and prevention of intraoperative hypothermia.
在过去十年中,诊断和预防术中低体温的重要性已成为人们关注的焦点。事实证明,在长时间麻醉过程中,核心体温会下降1-3摄氏度。同样也已证实,即使是轻度低体温(核心体温低于36摄氏度)也会导致许多影响患者预后的围手术期并发症,如围手术期心脏异常、出血风险增加和输血需求、药物代谢降低以及伤口愈合过程延长。此外,术中低体温的治疗可能会使围手术期成本增加一倍。因此,在本综述中,我们打算总结关于术中低体温的发生、后果和预防的最新知识。