O'keeffe K M
JACEP. 1977 Nov;6(11):491-6. doi: 10.1016/s0361-1124(77)80387-0.
A retrospective review of all patients seen in an urban city-county emergency department over a 32-month period with a primary or associated diagnosis of hypothermia was performed using the emergency department encounter form and the inpatient chart of 62 cases (59 patients) with core temperatures of 35 C (95 F) or below. With this relatively large population, a general conclusion was reached about the presentation and natural history of this interesting entity. This permitted a defensible treatment regimen which is currently employed a this institution and which is offered for institutions in similar settings. The variance in clinical signs, laboratory values, electrocardiographic findings and complications encountered in this study are detailed against the background of a review of the findings of the current literature.
对一个城市县级急诊科在32个月期间接诊的所有原发性或合并诊断为体温过低的患者进行了回顾性研究,使用急诊科病历表和62例(59名患者)核心体温在35摄氏度(95华氏度)及以下的住院病历。基于这一相对庞大的群体,得出了关于这一有趣病症的临床表现和自然病程的一般性结论。这使得目前在本机构采用的、可供类似环境中的机构使用的合理治疗方案成为可能。在回顾当前文献研究结果的背景下,详细阐述了本研究中遇到的临床体征、实验室值、心电图表现及并发症的差异。