Steinemann S, Shackford S R, Davis J W
Division of Trauma, University of California, San Diego Medical Center.
J Trauma. 1990 Feb;30(2):200-2. doi: 10.1097/00005373-199002000-00011.
Hypothermia is common after severe injury, and has been associated with an increased mortality rate in patients stratified by anatomic indices of injury severity. In this retrospective study of 173 patients, early post-traumatic hypothermia was found to correlate with physiologic indicators of volume deficit, independently of the amount of intravenous fluid received. There was no correlation found between admission core temperature and time from injury, blood alcohol, or presence of severe closed head injury. Hypothermic patients (less than 35 degrees C) had a lower predicted probability of survival and a higher mortality rate than euthermic patients (greater than or equal to 35 degrees C). However, when patients were stratified by physiologic and anatomic indicators of injury severity, mortality rates among the euthermic and hypothermic patients were not significantly different. Early post-traumatic hypothermia does not appear to exert an independent effect upon outcome.
体温过低在严重创伤后很常见，在根据损伤严重程度的解剖学指标分层的患者中，它与死亡率增加有关。在这项对173名患者的回顾性研究中，发现创伤后早期体温过低与容量不足的生理指标相关，与静脉输液量无关。入院时的核心体温与受伤时间、血液酒精含量或严重闭合性颅脑损伤的存在之间没有相关性。体温过低的患者（低于35摄氏度）比体温正常的患者（大于或等于35摄氏度）生存的预测概率更低，死亡率更高。然而，当根据损伤严重程度的生理和解剖学指标对患者进行分层时，体温正常和体温过低的患者之间的死亡率没有显著差异。创伤后早期体温过低似乎对结局没有独立影响。
