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[热休克中温度差异的预后及信息价值]

[The prognostic and informative value of temperature differences in thermal shock].

作者信息

Taneva E

出版信息

Khirurgiia (Sofiia). 1995;48(3):42-5.

PMID:8667582
Abstract

In thermal shock patients thermoregulation impairment occurs through peripheral and central mechanisms. Rather significant temperature differences between the single parts of the body are produced. The study covers 25 patients in thermal shock phase, including 11 adults and 14 children. The ages of the patients range from 15 months to 50 years, with burnt surface from 15 to 50 percent. The dynamic patterns of the listed below indicators are followed up: oral, rectal, skin and roop temperatures, and relative humidity of the room. In patients with shock running a mild course the oral-skin and rectal-skin temperatures return to normal as early as within 24 hours. In extensive burns, irrespective of infusional and drug treatment, temperature differences within the limits 12 degrees-14 degrees C persist. Based on the study results an assessment is made of the prognostic relevance of the indicators proposed.

摘要

在热休克患者中,体温调节障碍通过外周和中枢机制发生。身体各部位之间会产生相当显著的温度差异。该研究涵盖了25名处于热休克阶段的患者,其中包括11名成人和14名儿童。患者年龄从15个月至50岁不等,烧伤面积为15%至50%。对以下指标的动态变化进行跟踪:口腔、直肠、皮肤和腋窝温度,以及房间的相对湿度。在病情较轻的休克患者中,口腔-皮肤和直肠-皮肤温度早在24小时内就恢复正常。在大面积烧伤患者中,无论输液和药物治疗情况如何,12摄氏度至14摄氏度范围内的温度差异持续存在。根据研究结果,对所提出指标的预后相关性进行评估。

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