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浸泡后体温过低导致致命误判的危险。浸泡25分钟后成功复苏。

The danger of fatal misjudgement in hypothermia after immersion. Successful resuscitation following immersion for 25 minutes.

作者信息

Theilade D

出版信息

Anaesthesia. 1977 Oct;32(9):889-92. doi: 10.1111/j.1365-2044.1977.tb10111.x.

DOI:10.1111/j.1365-2044.1977.tb10111.x
PMID:603003
Abstract

A case is reported of the successful resuscitation of a 6-year-old child after 25 minutes' immersion in water at 4 degrees C. The difficulties of evaluating vital functions at low body temperatures, with the accompanying danger of fatal misjudgment, are pointed out. It is concluded that low body temperatures indicate that a considerably longer resuscitation procedure than normal should be undertaken, particularly in children, and that if the body temperature is above 30 degrees C rewarming ought not to take place before satisfactory oxygenation and an efficient circulation have been established.

摘要

报道了一例6岁儿童在4摄氏度水中浸泡25分钟后成功复苏的病例。指出了在低体温时评估生命功能的困难以及随之而来的致命误判风险。得出的结论是,低体温表明应进行比正常情况长得多的复苏程序,尤其是在儿童中,并且如果体温高于30摄氏度,在建立满意的氧合和有效循环之前不应进行复温。

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Anaesthesia. 1977 Oct;32(9):889-92. doi: 10.1111/j.1365-2044.1977.tb10111.x.
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引用本文的文献

1
Management of profound accidental hypothermia with cardiorespiratory arrest.伴有心跳呼吸骤停的严重意外低温的处理
Ann Surg. 1982 Apr;195(4):492-5. doi: 10.1097/00000658-198204000-00018.
2
Survival in adults after cardiac arrest due to drowning.溺水所致心脏骤停后成人的生存情况。
Intensive Care Med. 1990;16(5):336-7. doi: 10.1007/BF01706363.
3
Treating accidental hypothermia.治疗意外低温症。
Br Med J. 1978 Nov 18;2(6149):1383-4.