酒精和药物中毒后伴有心脏骤停的深度意外低温，采用体外生命支持治疗。
Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support.
作者信息
Grapatsas Konstantinos, Leivaditis Vasileios, Panagiotopoulos Ioannis, Spiliotopoulos Konstantinos, Koletsis Efstratios, Dahm Manfred, Kosmidis Christoforos, Laskou Stella, Zarogoulidis Paul, Katsaounis Athanasios, Pavlidis Efstathios, Giannakidis Dimitrios, Koulouris Charilaos, Mantalovas Stylianos, Konstantinou Fotis, Amaniti Aikaterini, Munteanu Alexandru, Surlin Valeriou, Sapalidis Konstantinos, Kesisoglou Isaak
机构信息
Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Mainz University, Kaiserslautern, Germany.
Department of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
出版信息
Respir Med Case Rep. 2018 Jun 19;25:66-67. doi: 10.1016/j.rmcr.2018.06.011. eCollection 2018.
Deep accidental hypothermia is an unusual clinical entity in developed countries. We report a case of a 30 year old male Caucasian patient with accidental severe hypothermia who was transferred to the emergency department of our hospital after prolonged exposure in the urban city's night environment cold as a result of alcohol and drugs abuse. The patient was found unconscious in the first early hours from onlookers. The time that the patient remained unconscious is unknown. During the transfer to the hospital because of cardiac arrest cardiopulmonary resuscitation began. In the emergency department an extracorporeal life support system (ECLS) was implanted under cardiopulmonary resuscitation in order to achieve hemodynamic stabilization and rapid and safe rewarming. The patient's rewarming lasted 6 hours. The patient was extubated the next day.
在发达国家，深度意外低温是一种不常见的临床病症。我们报告一例30岁的男性白种人患者，因酗酒和滥用药物，长时间暴露于城市夜间寒冷环境后发生意外严重低温，被送至我院急诊科。患者被旁观者发现时处于昏迷状态，昏迷持续时间不详。在转院途中因心脏骤停开始进行心肺复苏。在急诊科，于心肺复苏过程中植入体外生命支持系统（ECLS），以实现血流动力学稳定及快速、安全复温。患者复温持续了6小时。次日患者拔除气管插管。
Zotero 插件