Ivashkin V T, Tel'nykh Iu V
Klin Med (Mosk). 1991 Jan;69(1):76-9.
Comprehensive examination of 27 subjects who had suffered from supercooling in cold water and autopsy evidence on 7 victims of general supercooling provided data on structural and functional impairment of the liver and kidneys varying in gravity and duration. The highest informative value in the diagnosis of hepato- and nephropathies belongs to biochemical tests able to detect hyperbilirubinemia, aminotransferase hyperactivity, elevated levels of blood urea and creatinine++. The underlying pathological mechanism in the liver and kidney under supercooling is disturbed microcirculation. The severity and duration of hepato- and nephropathy depend on the seriousness of general cooling.
对27名在冷水中遭受过体温过低的受试者进行的全面检查以及7名全身体温过低受害者的尸检证据，提供了关于肝脏和肾脏结构及功能损害的数据，这些损害在严重程度和持续时间上各不相同。在肝病和肾病的诊断中，最具信息价值的是能够检测到高胆红素血症、转氨酶活性过高、血尿素和肌酐水平升高的生化检测。体温过低时肝脏和肾脏的潜在病理机制是微循环紊乱。肝病和肾病的严重程度和持续时间取决于全身低温的严重程度。
