Zaki Hany A, Alhatemi Mubarak, Hendy Mohamed, Kaber Yasser, Iftikhar Haris
Emergency Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus. 2022 Apr 4;14(4):e23822. doi: 10.7759/cureus.23822. eCollection 2022 Apr.
Hypothermia is an involuntary fall in body temperature, usually below 35°C. Hypothermia is a common condition, especially in frigid zones. However, it should not be forgotten that it can also occur in temperate climates or for iatrogenic reasons. Hypothermia is associated with seriously severe arrhythmias, particularly ventricular fibrillation, and there are many reports of prolonged resuscitation in these patient groups. This case report shows that a standard thermometer, either with Emergency Medical Services or in-hospital, will be incapable of reading the temperature if it is less than 34°C and will falsely read 34°C when in reality it is lower than that; in a clinically relevant scenario, a low-reading thermometer or core body temperature readings, such as rectal or esophageal, should be used.
体温过低是指体温不由自主下降，通常低于35°C。体温过低是一种常见情况，在寒冷地区尤为常见。然而，不应忘记的是，它也可能发生在温带气候地区或由医源性原因导致。体温过低与严重的心律失常有关，尤其是心室颤动，并且有许多关于这些患者群体长时间复苏的报道。本病例报告表明，无论是在紧急医疗服务中还是在医院内，标准温度计在体温低于34°C时将无法读取温度，而当实际温度低于34°C时会错误地读取为34°C；在临床相关情况下，应使用低读数温度计或核心体温读数，如直肠或食管温度读数。
