Ricou F, Houriet J, Cereda J M, von Segesser L
Schweiz Med Wochenschr. 1985 Jan 12;115(2):55-9.
A case is reported of profound accidental hypothermia with spontaneous cardiac activity in a patient presenting several risk factors. The rewarming from 23.5 degrees C to 36.5 degrees C by partial cardio-pulmonary bypass was carried out without complications and in particular without cardiac arrythmia. As far as we are aware this is the twelfth case of profound accidental hypothermia reported in the literature in which rewarming was carried out by this method and the fourth case not involving cardiac arrest. Rapid rewarming by partial cardio-pulmonary bypass could be useful in patients with profound accidental hypothermia without cardiac arrest, the most serious complication being, precisely, cardiac arrest during rewarming.
本文报告了一例有多种危险因素的患者发生严重意外低温且伴有自发心脏活动的病例。通过部分体外循环将体温从23.5摄氏度复温至36.5摄氏度，过程无并发症，尤其未出现心律失常。据我们所知，这是文献中报道的第十二例采用该方法复温的严重意外低温病例，也是第四例未发生心脏骤停的病例。对于未发生心脏骤停的严重意外低温患者，通过部分体外循环快速复温可能有效，而最严重的并发症恰恰是复温过程中的心脏骤停。
