Lamperti M, Croci M, Carboni P, Beverini C, Trazzi R
Istituto di Anestesia e Rianimazione II, IRCCS Ospedale Policlinico, Milano.
Minerva Anestesiol. 1998 Oct;64(10):459-64.
Evaluation of outcome after CPR in severe hypothermic patients.
Perspective study from October 1995 to April 1996.
First aid team of Italian Red Cross, Busto Arsizio (Varese), Italy.
A population of 22 patients in cardiac arrest in which CPR was performed immediately after rescue team's arrival is studied. ECG, core temperature, SpO2 and MAP were monitored whereas vital parameters were present during Basic Life Support. Outcome after CPR was evaluated with GOS scale.
It has been observed that severe hypothermia and time of cardiac arrest impact on the clinical outcome after CPR. The high mortality rate after CPR with BLS standard is worsened by a core temperature < or = 33 degrees C.
Severe hypothermia seems to have a dangerous effect upon outcome after cardiopulmonary resuscitation; heating systems for body temperature could prevent this situation improving CPR results.
评估重度低温患者心肺复苏后的预后。
1995年10月至1996年4月的前瞻性研究。
意大利瓦雷泽省布斯托阿西齐奥市意大利红十字会急救小组。
对22例心脏骤停患者进行研究，这些患者在救援队到达后立即进行了心肺复苏。监测心电图、核心体温、血氧饱和度和平均动脉压，同时在基础生命支持期间记录生命体征参数。采用格拉斯哥预后评分量表评估心肺复苏后的预后。
观察到重度低温和心脏骤停时间对心肺复苏后的临床结局有影响。核心体温≤33℃会使按照基础生命支持标准进行心肺复苏后的高死亡率进一步恶化。
重度低温似乎对心肺复苏后的预后有危险影响；体温加热系统可以预防这种情况，改善心肺复苏结果。
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