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意外低体温症的历史。

History of accidental hypothermia.

机构信息

Derriford Hospital, Plymouth PL6 8DH, UK.

出版信息

Resuscitation. 2011 Jan;82(1):122-5. doi: 10.1016/j.resuscitation.2010.09.465. Epub 2010 Oct 30.

Abstract

Death from exposure to cold has been recognised for thousands of years but hypothermia as a clinical condition was not generally recognised until the mid-20th century and then only in extreme conditions such as immersion in cold water or snow. In the UK, hypothermia in less extreme conditions was not generally recognised until the 1960s. Recognition of hypothermia required the temperature to be measured and this did not become a clinical tool until the late 1800s and it was not used routinely until the early 1900s. Although John Hunter and James Curry did some physiological experiments in the 1700s, detailed physiological experiments were not done until the early 20th century and the use of therapeutic hypothermia for malignancy and in anaesthesia in the 1930s and 1940s provided more impetus for investigating the physiology of hypothermia in humans and familiarising the medical profession with measuring core temperatures.

摘要

几千年来,人们已经认识到因暴露于寒冷而导致的死亡,但直到 20 世纪中叶,人们才普遍认识到体温过低作为一种临床病症,而且只是在极端条件下,如浸入冷水中或雪中。在英国,直到 20 世纪 60 年代,人们才普遍认识到在不太极端的情况下也会出现体温过低。要认识到体温过低,必须测量体温,直到 19 世纪后期,这才成为一种临床工具,直到 20 世纪初才开始常规使用。尽管约翰·亨特和詹姆斯·柯里在 18 世纪做了一些生理学实验,但直到 20 世纪初才进行详细的生理学实验,而在 20 世纪 30 年代和 40 年代,利用治疗性低温治疗恶性肿瘤和麻醉,为研究人类体温过低的生理学和使医学专业熟悉测量核心温度提供了更多动力。

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本文引用的文献

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Survival of hypothermia by men immersed in the ocean.男性浸泡在海洋中的低温存活情况。
J Am Med Assoc. 1946 Jul 27;131:1046-50. doi: 10.1001/jama.1946.02870300014004.
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