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正常人和截瘫患者体温调节的失温区

The dead zone of thermoregulation in normal and paraplegic man.

作者信息

Tam H S, Darling R C, Cheh H Y, Downey J A

出版信息

Can J Physiol Pharmacol. 1978 Dec;56(6):976-83. doi: 10.1139/y78-155.

DOI:10.1139/y78-155
PMID:743636
Abstract

Independent heating and cooling of the core and skin were performed to a normal and a paraplegic subject. It was found that the core threshold temperature for vasoconstriction release was between that for shivering and sweating. After the onset of sweating, vasodilation of the forearm was observed to increase sharply. The core threshold temperature of sweating of the paraplegic was 0.7 degrees C higher than that of the normal at corresponding mean sentient skin temperatures. No sweating was observed in the spinal man without raising his core temperature. It appeared that the dead zone of thermoregulation is shifted up in the spinal patient and the possible reasons for this are discussed.

摘要

对一名正常人和一名截瘫患者进行了核心体温和皮肤温度的独立加热和冷却实验。结果发现,血管收缩释放的核心体温阈值介于寒战和出汗的阈值之间。出汗开始后,观察到前臂血管舒张急剧增加。在相应的平均感觉皮肤温度下,截瘫患者出汗的核心体温阈值比正常人高0.7摄氏度。在脊髓损伤患者体温未升高的情况下未观察到出汗现象。似乎体温调节的失温区在脊髓损伤患者中向上移动,并对此可能的原因进行了讨论。

相似文献

1
The dead zone of thermoregulation in normal and paraplegic man.正常人和截瘫患者体温调节的失温区
Can J Physiol Pharmacol. 1978 Dec;56(6):976-83. doi: 10.1139/y78-155.
2
Sweating responses to central and peripheral heating in spinal man.
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Anesthesiology. 1994 Apr;80(4):780-8. doi: 10.1097/00000542-199404000-00009.
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Sweating responses of normal, paraplegic and anhidrotic subjects.正常受试者、截瘫受试者和无汗受试者的出汗反应。
Arch Phys Med Rehabil. 1976 Jun;57(6):268-74.
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Moderate exercise increases the post exercise resting warm thermoregulatory response thresholds.适度运动可提高运动后静息状态下的温热体温调节反应阈值。
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Propofol linearly reduces the vasoconstriction and shivering thresholds.丙泊酚可线性降低血管收缩阈值和寒战阈值。
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Alfentanil slightly increases the sweating threshold and markedly reduces the vasoconstriction and shivering thresholds.阿芬太尼可轻微提高出汗阈值,并显著降低血管收缩和寒战阈值。
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