Troelsen S, Rybro L, Knudsen F
Scand J Urol Nephrol. 1986;20(3):221-4. doi: 10.3109/00365598609024499.
In five women and two men, profound accidental hypothermia--core temperature on admission 24-28 degrees C--was treated with peritoneal dialysis. In two cases 16 gauge intravenous catheters were used, without difficulty, for the dialysis. Six of the seven patients were intoxicated by hypnotics, and four also by alcohol. Two patients died--one 38 hours after admission due to acute myoglobinuric renal failure arising from gangrene of an arm, and the other after 71 hours, due to cerebral herniation. The remaining five patients recovered without cerebral sequelae. Peritoneal dialysis is a useful procedure for rewarming patients with profound accidental hypothermia.
对5名女性和2名男性进行了腹膜透析治疗严重意外低温——入院时核心体温为24 - 28摄氏度。在2例中，使用16号静脉导管进行透析，未遇到困难。7名患者中有6名因服用催眠药中毒，4名还伴有酒精中毒。2例患者死亡——1例在入院38小时后因手臂坏疽引起的急性肌红蛋白尿性肾衰竭死亡，另1例在71小时后因脑疝死亡。其余5例患者康复，无脑部后遗症。腹膜透析是使严重意外低温患者复温的一种有效方法。
