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创伤性脑损伤并发环境高温。

Traumatic brain injury complicated by environmental hyperthermia.

作者信息

Hermstad Erik, Adams Bruce

机构信息

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

出版信息

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

DOI:10.4103/0974-2700.58660
PMID:20165724
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2823146/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8815/2823146/f68e0941da06/JETS-03-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8815/2823146/420c5f876da2/JETS-03-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8815/2823146/f68e0941da06/JETS-03-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8815/2823146/420c5f876da2/JETS-03-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8815/2823146/f68e0941da06/JETS-03-66-g002.jpg

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本文引用的文献

1
Hypothermia for brain protection in the non-cardiac arrest patient.非心脏骤停患者中用于脑保护的低温疗法。
Minerva Anestesiol. 2008 Jun;74(6):315-8.
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Raised intra-cranial pressure--sodium bicarbonate as an alternative hyperosmolar treatment.
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[Coagulation disorders in patients with trauma to the skull and brain: a frequent and potentially fatal combination].[颅脑创伤患者的凝血障碍:一种常见且可能致命的组合]
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Admission hypothermia and outcome after major trauma.严重创伤后的入院时低体温与预后
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Independent contributions of hypothermia and acidosis to coagulopathy in swine.体温过低和酸中毒对猪凝血功能障碍的独立影响。
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Prehospital hypertonic saline resuscitation of patients with hypotension and severe traumatic brain injury: a randomized controlled trial.院前高渗盐水复苏治疗低血压和重度创伤性脑损伤患者:一项随机对照试验。
JAMA. 2004 Mar 17;291(11):1350-7. doi: 10.1001/jama.291.11.1350.
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