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[体温过低:腹膜透析的非肾脏适应症]

[Hypothermia: a non renal indication for peritoneal dialysis].

作者信息

García R E, Peralta J

机构信息

Depto de Medicina y Cátedra de Farmacología, Facultad de Medicina, Universidad de Valparaíso, Chile.

出版信息

Rev Med Chil. 1994 Jul;122(7):803-6.

PMID:7732231
Abstract

Accidental hypothermia, a condition seldomly seen in Chile, is defined as a spontaneous core temperature reduction to less than 35 degrees C and is associated with great morbidity and mortality. We report a 16 years old female intoxicated with liquefied petroleum gas that was admitted in coma, hypothermic, with severe hemodynamic derangement, lactic acidosis, rhabdomyolysis and iliofemoral phlebothrombosis. Peritoneal dialysis with solutions at 27 degrees C was used as a quick and safe means to revert hypothermia and avoid its complications.

摘要

意外低温在智利很少见,其定义为核心体温自发降至低于35摄氏度,并伴有高发病率和死亡率。我们报告了一名16岁女性,因吸入液化石油气中毒入院,处于昏迷、低温状态,伴有严重的血流动力学紊乱、乳酸酸中毒、横纹肌溶解和髂股静脉血栓形成。使用27摄氏度的溶液进行腹膜透析是恢复体温并避免其并发症的一种快速且安全的方法。

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