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意外低温的处理

The management of accidental hypothermia.

作者信息

Zingg W

出版信息

Can Med Assoc J. 1967 Jan 28;96(4):214-8.

PMID:6015743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1936916/
Abstract

Accidental general hypothermia is defined as an unintentional lowering of the body temperature in a previously conscious patient due to exposure. Even mild degrees of hypothermia may be followed by death if treatment is not instituted promptly. Hypothermic patients who are still conscious may rewarm spontaneously. They should not be left unattended and, if the facilities are available, rapid rewarming appears to be the treatment of choice. Unconscious patients who are presumed to have a lower temperature of prolonged duration may not benefit from rapid rewarming. All hypothermia victims showing signs of life are potential survivors, but even with good facilities the mortality rate may be high.

摘要

意外性全身低温被定义为先前意识清醒的患者因暴露而意外降低体温。如果不及时治疗,即使是轻度低温也可能导致死亡。仍有意识的低温患者可能会自行复温。不应让他们无人照看,并且如果有条件,快速复温似乎是首选治疗方法。据推测体温长时间较低的无意识患者可能无法从快速复温中获益。所有有生命迹象的低温受害者都是潜在的幸存者,但即使有良好的条件,死亡率可能仍然很高。

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本文引用的文献

1
Injuries Due to Cold, Frostbite, Immersion Foot and Hypothermia.寒冷、冻伤、浸渍足及体温过低所致损伤
Can Med Assoc J. 1952 Dec;67(Spec Issue):534-8.
2
Cold injury in civil disaster.民事灾难中的冻伤
Can Med Assoc J. 1962 Dec 1;87(22):1196-200.
3
Accidental hypothermia in walkers, climbers, and campers: report to the Medical Commission on Accident Prevention.步行者、登山者和露营者的意外低体温症:提交给事故预防医学委员会的报告
Br Med J. 1966 Jan 15;1(5480):123-9. doi: 10.1136/bmj.1.5480.123.
4
Accidental hypothermia.意外低温
Med Serv J Can. 1966 Jun;22(6):399-410.