创伤性脑损伤并发环境高温。

Hermstad Erik, Adams Bruce

Carl R. Darnall Army Medical Center, Fort Hood, Texas, USA.

J Emerg Trauma Shock. 2010 Jan;3(1):66-9. doi: 10.4103/0974-2700.58660.

Temperature variations after traumatic brain injury are common and devastating. This has been shown most clearly with hypothermia, but the complications associated with hyperthermia in the setting of traumatic brain injury can be just as problematic. We present the case of a soldier with traumatic brain injury exposed to environmental temperatures of 115-120 degrees F with a core temperature of over 108 degrees F. The complications of his conditions are discussed as well as potential treatments for the deadly combination of traumatic brain injury and environmental hyperthermia.

创伤性脑损伤后的体温变化很常见且具有破坏性。这在体温过低的情况下最为明显，但创伤性脑损伤时与体温过高相关的并发症同样可能成为问题。我们报告一例创伤性脑损伤士兵的病例，其暴露于华氏115 - 120度的环境温度下，核心体温超过华氏108度。文中讨论了他病情的并发症以及创伤性脑损伤与环境高温这一致命组合的潜在治疗方法。