Kot P, Botella J
Unidad de Medicina Intensiva, Hospital Universitario La Fe, Valencia, España.
Med Intensiva. 2010 Nov;34(8):567-70. doi: 10.1016/j.medin.2009.12.001. Epub 2010 Jan 22.
In cardiac arrest produced by accidental hypothermia, cardiopulmonary resuscitation must be prolonged until normal body temperature is achieved. There are different rewarming methods. In theory, the more invasive ones are elective in patients with cardiac arrest because of their higher rewarming speed. However, it has not been proven that these methods are better than the non-invasive ones. We present a case report of a patient with cardiac arrest due to accidental hypothermia who was treated without interruption for three hours with heart massage. This is the longest successful cardiopulmonary resuscitation known up-to-date in Spain. In order to rewarm the body, a combination of non-invasive methods was used: active external rewarming with convective warm air, gastric and bladder lavage with warm saline solution and intravenous warm saline infusion. This case shows that it is possible to treat hypothermic cardiac arrest successfully through these rewarming methods, which are both easy to apply and feasible in any hospital.
在意外低温导致的心搏骤停中，必须延长心肺复苏直至体温恢复正常。有不同的复温方法。理论上，侵入性较强的方法对于心搏骤停患者是可选择的，因为它们的复温速度更快。然而，尚未证实这些方法比非侵入性方法更好。我们报告一例因意外低温导致心搏骤停的患者，该患者接受心脏按压不间断治疗三小时。这是西班牙目前已知最长时间的成功心肺复苏。为使身体复温，采用了非侵入性方法的组合：用对流暖空气进行主动外部复温、用温盐水进行胃和膀胱灌洗以及静脉输注温盐水。该病例表明，通过这些复温方法成功治疗低温性心搏骤停是可行的，这些方法易于应用且在任何医院都可行。
