一名 95 岁患者因意外低温导致循环骤停：病例报告。
A 95 year-old suffering circulatory arrest after accidental hypothermia: a case report.
机构信息
Department of Cardiothoracic Anesthesiology and Intensive Care, St.Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Cardiothoracic Surgery, St.Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
出版信息
BMC Geriatr. 2017 Oct 26;17(1):249. doi: 10.1186/s12877-017-0646-6.
BACKGROUND
The elderly are vulnerable to cold and prone to accidental hypothermia, both because of environmental and endogenous factors. The incidence of severe accidental hypothermia among the elderly is poorly described, but many cases probably go unrecorded. Going through literature one finds few publications on severe hypothermia among the elderly, and, to our knowledge, nothing about extracorporeal re-warming of geriatric hypothermia victims.
CASE PRESENTATION
We present a case were a 95 year-old man with severe accidental hypothermia and circulatory arrest was brought to our hospital under on-going CPR, and was successfully resuscitated with extracorporeal circulation. He was discharged to his home without physical sequelae a few weeks later.
CONCLUSION
The decision whether or not to continue resuscitation of a nonagenarian can be difficult in many respects. Knowing that resuscitation with extracorporeal circulation is resource intensive may complicate the discussion. In light of our experience with this case we discuss medical and ethical aspects of modern treatment of severe accidental hypothermia.
背景
老年人易受寒冷影响，且容易意外体温过低，这既是环境因素，也是内在因素所致。老年人严重意外体温过低的发生率描述得很差，但许多病例可能未被记录。在文献中，我们发现很少有关于老年人严重体温过低的出版物，而且，据我们所知，没有关于老年体温过低患者体外复温的内容。
病例介绍
我们介绍了一个病例，一名 95 岁的男性因严重意外体温过低和循环骤停被带到我们医院，正在进行心肺复苏，随后成功地使用体外循环进行复苏。几周后，他没有身体后遗症出院回家。
结论
在许多方面，决定是否继续对 90 岁以上的老人进行复苏可能是困难的。体外循环复苏需要大量资源，这可能会使讨论变得复杂。鉴于我们对该病例的经验，我们讨论了现代严重意外体温过低治疗的医学和伦理方面。
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