Henneberg S, Eklund A, Joachimsson P O, Stjernström H, Wiklund L
Acta Anaesthesiol Scand. 1985 Aug;29(6):602-6. doi: 10.1111/j.1399-6576.1985.tb02263.x.
Moderate per- and postoperative hypothermia initiates an increased metabolism in the postoperative period. The subsequent demands on oxygen transport may be critical in poor risk patients. Nineteen healthy young women with moderate hypothermia after abdominal surgery were studied for 2 h postoperatively with or without external heating from a heating ceiling. Central and peripheral temperatures, oxygen consumption, plasma catecholamines and shivering were measured. A method for continuous measurement of oxygen consumption and carbon dioxide production during spontaneous breathing is described. The results suggest that postoperative external heating decreases oxygen consumption, shivering and plasma catecholamine levels. At the same time, the comfort of the patient is increased considerably.
术中及术后的中度体温过低会导致术后新陈代谢加快。对于高危患者而言，后续对氧运输的需求可能至关重要。对19名腹部手术后出现中度体温过低的健康年轻女性进行了术后2小时的研究，研究过程中一部分使用了加热天花板进行外部加热，另一部分未使用。测量了中心和外周温度、氧耗、血浆儿茶酚胺和寒颤情况。描述了一种在自主呼吸过程中连续测量氧耗和二氧化碳产生的方法。结果表明，术后外部加热可降低氧耗、寒颤及血浆儿茶酚胺水平。与此同时，患者的舒适度也显著提高。
