Segers M J, Diephuis J C, van Kesteren R G, van der Werken C
Afd. Chirurgie, Academisch Ziekenhuis, Utrecht.
Ned Tijdschr Geneeskd. 1997 Jul 12;141(28):1369-72.
Three patients, two men aged 47 and 33 years and a woman aged 33 years, became hypothermic after an accident with body temperatures of 34.5, 26.2 and 23.1 degrees C, respectively. Two of them developed circulatory disorders, for which reanimation was performed. All three patients recovered after active external heating using among other things warmed infusion fluids, a warmed waterbed, continuous arteriovenous rewarming and rewarming with the heart-lung machine. For the treatment to be successful, the type of rewarming selected should be guided by the degree of hypothermia, the circulatory situation and the severity of the accessory injuries.
三名患者,两名男性,年龄分别为47岁和33岁,一名女性,33岁,在一次事故后体温过低,体温分别为34.5、26.2和23.1摄氏度。其中两人出现循环系统紊乱,并进行了复苏治疗。所有三名患者在积极进行外部加热后康复,加热方式包括使用温热的输液、温热水床、持续动静脉复温以及心肺机复温等。为使治疗成功,所选复温类型应根据体温过低的程度、循环状况及合并伤的严重程度来决定。