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闭合式胸腔灌洗治疗人类严重低温症

Closed thoracic cavity lavage in the treatment of severe hypothermia in human beings.

作者信息

Hall K N, Syverud S A

机构信息

Department of Emergency Medicine, University of Cincinnati Medical Center, Ohio.

出版信息

Ann Emerg Med. 1990 Feb;19(2):204-6. doi: 10.1016/s0196-0644(05)81810-4.

DOI:10.1016/s0196-0644(05)81810-4
PMID:2301800
Abstract

Life-threatening hypothermia can be treated by active and passive rewarming techniques, the treatment of choice being partial cardiopulmonary bypass. The use of closed thoracic cavity lavage has been evaluated in animals, but no formal presentations in human beings have been reported. We report two cases in which rapid rewarming in severe hypothermia was accomplished when cardiopulmonary bypass was not available.

摘要

危及生命的低温症可通过主动和被动复温技术进行治疗,首选的治疗方法是部分体外循环。封闭胸腔灌洗已在动物身上进行了评估,但尚未有在人类身上的正式报告。我们报告了两例在无法进行体外循环时实现严重低温快速复温的病例。

相似文献

1
Closed thoracic cavity lavage in the treatment of severe hypothermia in human beings.闭合式胸腔灌洗治疗人类严重低温症
Ann Emerg Med. 1990 Feb;19(2):204-6. doi: 10.1016/s0196-0644(05)81810-4.
2
Closed thoracic cavity lavage for hypothermia with cardiac arrest.用于低温合并心脏骤停的闭式胸腔灌洗
Ann Emerg Med. 1991 Apr;20(4):439-40. doi: 10.1016/s0196-0644(05)81687-7.
3
Successful CPR in a severely hypothermic patient using continuous thoracostomy lavage.在一名严重低温患者中通过持续胸腔闭式灌洗成功实施心肺复苏。
Ann Emerg Med. 1990 Nov;19(11):1335-7. doi: 10.1016/s0196-0644(05)82300-5.
4
Rewarming in severe hypothermia.重度低温的复温
Ann Emerg Med. 1990 Sep;19(9):1076-7. doi: 10.1016/s0196-0644(05)82592-2.
5
[Accidental hypothermia: treatment of a case using peritoneal irrigation].[意外低温:腹膜灌洗治疗1例]
Can Anaesth Soc J. 1979 Nov;26(6):506-9. doi: 10.1007/BF03006167.
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Rewarming a patient with accidental hypothermia and cardiac arrest using thoracic lavage.使用胸腔灌洗对意外低体温合并心脏骤停的患者进行复温。
Ann Thorac Surg. 2014 Jun;97(6):2165-6. doi: 10.1016/j.athoracsur.2013.08.028.
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[Thoracic lavage and open cardiac massage as treatment of hypothermic cardiac arrest--case report].[胸部灌洗和开胸心脏按压治疗低温性心脏骤停——病例报告]
Duodecim. 2016;132(7):666-8.
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Severe hypothermia and cardiac arrest successfully treated without external mechanical circulatory support.在无体外机械循环支持的情况下成功治疗严重低温和心脏骤停。
Am J Emerg Med. 2016 Sep;34(9):1913.e5-6. doi: 10.1016/j.ajem.2016.02.021. Epub 2016 Feb 12.
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Successful treatment of severe hypothermia and prolonged cardiac arrest with closed thoracic cavity lavage.
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Rewarming from experimental hypothermia: comparison of heated aerosol inhalation, peritoneal lavage, and pleural lavage.
Crit Care Med. 1988 Sep;16(9):869-75.

引用本文的文献

1
Accidental Hypothermia: 2021 Update.意外低体温症:2021 年更新版。
Int J Environ Res Public Health. 2022 Jan 3;19(1):501. doi: 10.3390/ijerph19010501.
2
Rewarming With Closed Thoracic Lavage Following 3-h CPR at 27°C Failed to Reestablish a Perfusing Rhythm.在27°C下进行3小时心肺复苏后,采用闭式胸腔灌洗复温未能恢复灌注节律。
Front Physiol. 2021 Sep 29;12:741241. doi: 10.3389/fphys.2021.741241. eCollection 2021.
3
Accidental hypothermia-an update : The content of this review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).
意外低温症——最新进展:本综述内容得到国际高山急救医学委员会(ICAR MEDCOM)认可。
Scand J Trauma Resusc Emerg Med. 2016 Sep 15;24(1):111. doi: 10.1186/s13049-016-0303-7.
4
Out of the cold: management of hypothermia and frostbite.走出寒冷:体温过低和冻伤的处理
CMAJ. 2003 Feb 4;168(3):305-11.
5
The rapid reversal of profound hypothermia using peritoneal dialysis.
Ir J Med Sci. 1996 Apr-Jun;165(2):113-4. doi: 10.1007/BF02943796.
6
Successful resuscitation from hypothermic induced cardiac arrest using cardiopulmonary bypass.使用体外循环成功复苏低温诱导的心脏骤停。
J R Soc Med. 1993 Dec;86(12):732-3. doi: 10.1177/014107689308601221.