Castillo Luis, Bugedo Guillermo, Rovegno Max
Departamento de Medicina Intensiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Bras Ter Intensiva. 2015 Jan-Mar;27(1):72-6. doi: 10.5935/0103-507X.20150012. Epub 2015 Mar 1.
The most important topics in fulminant hepatic failure are cerebral edema and intracranial hypertension. Among all therapeutic options, systemic induced hypothermia to 33 - 34ºC has been reported to reduce the high pressure and increase the time during which patients can tolerate a graft. This review discusses the indications and adverse effects of hypothermia.
暴发性肝衰竭最重要的议题是脑水肿和颅内高压。在所有治疗方案中,据报道将体温系统性降低至33 - 34摄氏度可降低高压并延长患者耐受移植的时间。本综述讨论了低温治疗的适应症和不良反应。