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本文引用的文献

1
Active perioperative patient warming using a self-warming blanket (BARRIER EasyWarm) is superior to passive thermal insulation: a multinational, multicenter, randomized trial.主动围手术期患者保温使用自热毯(BARRIER EasyWarm)优于被动保温:一项多国家、多中心、随机试验。
J Clin Anesth. 2016 Nov;34:547-54. doi: 10.1016/j.jclinane.2016.06.030. Epub 2016 Jul 17.
2
Troponin Elevation After Colorectal Surgery: Significance and Management.结直肠手术后肌钙蛋白升高:意义与处理
Ann Surg. 2016 Oct;264(4):605-11. doi: 10.1097/SLA.0000000000001854.
3
The Turkish Anaesthesiology and Reanimation Society Guidelines for the prevention of inadvertent perioperative hypothermia.土耳其麻醉与复苏学会预防围手术期意外体温过低指南。
Turk J Anaesthesiol Reanim. 2013 Oct;41(5):188-90. doi: 10.5152/TJAR.2013.64. Epub 2013 Oct 1.
4
Meta-analysis: effectiveness of forced-air warming for prevention of perioperative hypothermia in surgical patients.荟萃分析:强制空气加温预防手术患者围手术期低体温的有效性
J Adv Nurs. 2016 Oct;72(10):2294-314. doi: 10.1111/jan.13010. Epub 2016 May 31.
5
Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia in adults.用于预防成人围手术期意外低温引起并发症的主动体表升温系统。
Cochrane Database Syst Rev. 2016 Apr 21;4(4):CD009016. doi: 10.1002/14651858.CD009016.pub2.
6
Anaesthetic perioperative management according to the ERAS protocol.根据加速康复外科(ERAS)方案进行麻醉围手术期管理。
Anaesthesiol Intensive Ther. 2016;48(1):49-54. doi: 10.5603/AIT.2016.0006.
7
Comparison of resistive heating and forced-air warming to prevent inadvertent perioperative hypothermia.电阻加热与强制空气加温预防围手术期意外低温的比较。
Br J Anaesth. 2016 Feb;116(2):249-54. doi: 10.1093/bja/aev412.
8
Perioperative thermoregulation and heat balance.围手术期体温调节与热量平衡。
Lancet. 2016 Jun 25;387(10038):2655-2664. doi: 10.1016/S0140-6736(15)00981-2. Epub 2016 Jan 8.
9
Effect of Preoperative Forced-Air Warming on Hypothermia in Elderly Patients Undergoing Transurethral Resection of the Prostate.术前强制空气加温对老年前列腺经尿道切除术患者体温过低的影响。
Urol J. 2015 Nov 14;12(5):2366-70.
10
Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis.外周体温计估计体温的准确性:系统评价和荟萃分析。
Ann Intern Med. 2015 Nov 17;163(10):768-77. doi: 10.7326/M15-1150.

波兰麻醉学和重症治疗学会关于预防术中意外低体温的指南。

Guidelines of the Polish Society of Anaesthesiology and Intensive Therapy regarding prevention of inadvertent intraoperative hypothermia.

机构信息

Department of Anaesthesiology and Intensive Therapy, Medical Centre of Postgraduate Education in Warsaw, Poland.

Department of Anaesthesiology and Intensive Therapy, Chair of Anaesthesiology and Intensive Therapy in Zabrze, Medical University of Silesia in Katowice, Poland.

出版信息

Anaesthesiol Intensive Ther. 2021;53(5):376-385. doi: 10.5114/ait.2021.111871.

DOI:10.5114/ait.2021.111871
PMID:35100795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10172961/
Abstract

Core body temperature is strictly regulated (± 0.2 °C) and coordinated at the level of central nervous system located in the hypothalamus via several protective effector mechanisms that prevent overcooling and overheating. The central regulation permits both circadian and monthly variations of even 1°C; under normal conditions, however, the activation of effective protective mechanisms prevents even the slightest overcooling and core temperature elevation at any moment of the day.

摘要

核心体温受到严格调节(±0.2°C),并通过位于下丘脑的中枢神经系统协调,通过几种保护效应机制来防止体温过低和过热。中枢调节允许即使 1°C 的昼夜和每月变化;然而,在正常情况下,有效保护机制的激活可防止在一天中的任何时刻出现核心体温过低和升高的情况。