Vaagenes P, Holme J A
Anaesthesia. 1982 Aug;37(8):819-24. doi: 10.1111/j.1365-2044.1982.tb01813.x.
Two cases of deep hypothermia due to exposure to cold are described. Although the underlying mechanism and degree of hypothermia were comparable, there was a striking dissimilarity between the observed disturbances of body homeostasis, response to rewarming technique, clinical course and outcome in the two cases. The first case was severely acidotic. She was rewarmed by immersion in warm water, but died from an acute cerebrovascular accident. The second case was moderately intoxicated by alcohol and revealed few disturbing features. She was treated by the use of thermal mattresses and survived without complications.
本文描述了两例因暴露于寒冷环境导致深度低温的病例。尽管低温的潜在机制和程度相当，但两例患者在观察到的体内稳态紊乱、对复温技术的反应、临床病程及预后方面存在显著差异。第一例患者严重酸中毒。她通过浸泡在温水中复温，但死于急性脑血管意外。第二例患者有中度酒精中毒，仅有很少的干扰因素。她使用热床垫进行治疗，存活且无并发症。
