Can Fam Physician. 1974 Jun;20(6):56-8.
Much is yet unknown on the pathogenesis of accidental hypothermia in man. Data are mainly derived from comparative physiological studies in mammals, but some knowledge has been obtained from direct clinical observation and the experience gained with induced hypothermia in anesthesia. The usual criteria of death do not apply to hypothermia and awareness of the altered physiology under such conditions is essential for quick and effective treatment. There appears to be a shift in rewarming procedures from superficial rewarming by conservative methods to the more aggressive forms of central rewarming. Despite practical limitations the latter methods, especially peritoneal dialysis, are more effective and decrease mortality.
关于人体意外低温症的发病机制，目前仍有许多未知之处。数据主要来自哺乳动物的比较生理学研究，但也有一些知识是从直接的临床观察和麻醉中诱导低温所获得的经验中获得的。通常的死亡标准不适用于低温症，因此了解这种情况下的生理变化对于快速有效的治疗至关重要。复温程序似乎从保守的体表复温转变为更积极的中心复温。尽管存在实际限制，但后一种方法，特别是腹膜透析，更有效，降低了死亡率。
