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低温时吸入复温所提供的热增量。

Thermal increment provided by inhalation rewarming from hypothermia.

作者信息

Morrison J B, Conn M L, Hayward J S

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1979 Jun;46(6):1061-5. doi: 10.1152/jappl.1979.46.6.1061.

DOI:10.1152/jappl.1979.46.6.1061
PMID:468624
Abstract

To quantify the core temperature gain derived from inhalation rewarming, 10 subjects were immersed in seawater (mean temperature 12 degrees C) until a 2 degree C drop in rectal temperature occurred, and were then rewarmed by breathing hot saturated air at 45 degrees C for 30 min. Each subject was rewarmed once breathing air and once rebreathing a controlled fraction of expired air adjusted to produce a hyperventilation of 50 l/min. After 30 min of rewarming mean rectal temperature had increased 0.39 degrees C in subjects breathing air compared with 0.77 degrees C in those hyperventilating (P less than 0.01). Corresponding gains in tympanic temperatures were 1.1 and 1.5 degrees C, respectively. Calculations indicate that the additional heat input with hyperventilation yielded a core (rectal) temperature gain of 5.1 X 10(-4) degrees C/l. It is concluded that each additional 10 l/min of ventilation of hot saturated air will increase the rate of core rewarming from hypothermia by approximately 0.3 degrees C/h.

摘要

为了量化吸入复温所带来的核心体温升高,10名受试者被浸入海水中(平均温度12摄氏度),直到直肠温度下降2摄氏度,然后通过呼吸45摄氏度的热饱和空气30分钟进行复温。每名受试者一次呼吸空气进行复温,一次重新呼吸经控制的呼出气体部分,调整呼出气体以产生50升/分钟的过度通气。复温30分钟后,呼吸空气的受试者直肠平均温度升高了0.39摄氏度,而过度通气的受试者直肠平均温度升高了0.77摄氏度(P<0.01)。相应的鼓膜温度升高分别为1.1摄氏度和1.5摄氏度。计算表明,过度通气带来的额外热量输入使核心(直肠)温度升高了5.1×10⁻⁴摄氏度/升。得出的结论是,每额外增加10升/分钟的热饱和空气通气量,将使体温过低时的核心复温速率提高约0.3摄氏度/小时。

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