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失血性休克复苏过程中心外膜温度和核心温度的变化。

Changes in epicardial and core temperatures during resuscitation of hemorrhagic shock.

作者信息

Shaver J, Camarata G, Taleisnik A, Gazzaniga A B

出版信息

J Trauma. 1984 Nov;24(11):957-63. doi: 10.1097/00005373-198411000-00006.

DOI:10.1097/00005373-198411000-00006
PMID:6502768
Abstract

The hypothermic effect of resuscitation solution temperature on epicardial and core temperatures in 15 dogs during hemorrhagic shock was studied. Hemorrhagic shock was induced and dogs were then resuscitated with either body-temperature lactated Ringer's, room-temperature lactated Ringer's, 4 degrees C blood, warmed blood, or cold blood mixed with 50 degrees C lactated Ringer's. There was a significant decrease (p = 0.001) from baseline temperature recordings with the use of room-temperature lactated Ringer's, cold blood, and cold blood mixed with 50 degrees C lactated Ringer's. Baseline temperatures were not significantly changed with the use of warmed blood or body-temperature lactated Ringer's. The results of this study support the use of warmed blood or body-temperature lactated Ringer's during resuscitation from hemorrhagic shock.

摘要

研究了复苏溶液温度对15只狗在失血性休克期间的心外膜温度和核心温度的低温效应。诱导狗发生失血性休克,然后分别用体温的乳酸林格氏液、室温的乳酸林格氏液、4℃血液、温热血液或与50℃乳酸林格氏液混合的冷血对狗进行复苏。使用室温的乳酸林格氏液、冷血以及与50℃乳酸林格氏液混合的冷血时,与基线温度记录相比有显著下降(p = 0.001)。使用温热血液或体温的乳酸林格氏液时,基线温度没有显著变化。本研究结果支持在失血性休克复苏期间使用温热血液或体温的乳酸林格氏液。

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