Bland J W, Dunbar R W, Kaplan J A, Guffin A
South Med J. 1976 Jul;69(7):831-3. doi: 10.1097/00007611-197607000-00004.
Profound hypothermia can be a useful adjunct in the intraoperative management of infants and small children undergoing surgical correction of congenital heart defects. A case description of a 5 1/2-month-old male infant with total anomalous pulmonary venous drainage who had successful repair using surface cooling, cardiopulmonary bypass, and pump cooling to 20 C with intermittent periods of low systemic blood flow illustrates the technic. Discussed are the value of surface cooling before cooling on cardiopulmonary bypass, physiologic changes affecting the intraoperative and postoperative course, and the major risks and advantages of the technic.
深度低温可作为婴儿和小儿先天性心脏缺陷手术矫正术中管理的有用辅助手段。一名5个半月大的患有完全性肺静脉异位引流的男婴的病例描述说明了该技术，该婴儿通过体表降温、体外循环和泵冷却至20℃并伴有间歇性低体循环血流量成功完成修复。文中讨论了体外循环前体表降温的价值、影响术中和术后病程的生理变化以及该技术的主要风险和优势。
