HYPOTHERMIA IN ACUTE BLUNT HEAD-INJURY

被引:11
作者
CANCIO, LC
WORTHAM, WG
ZIMBA, F
机构
[1] General Surgery Service, Brooke Army Medical Center, Fort Sam Houston
[2] Department of Medicine, Brooke Army Medical Center, Fort Sam Houston
[3] Neurosurgery Service, Brooke Army Medical Center, Fort Sam Houston
关键词
HEAD INJURIES; CLOSED; BRAIN INJURIES; HYPOTHERMIA; INDUCED;
D O I
10.1016/0300-9572(94)90049-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Mild to moderate hypothermia has been employed since the 1940s in the treatment of acute blunt head trauma. The utility of hypothermia in ischemic injury has been confirmed, by both animal studies and clinical experience, in cardiovascular and neurological surgery. In blunt injury, though, only one prospective, randomized study has shown a statistically significant improvement in long term outcome. Clinical experience, animal data, proposed mechanisms, technical considerations, and potential risks are reviewed. Hypothermia remains controversial in the setting of blunt head injury but may prove to be a useful treatment modality.
引用
收藏
页码:9 / 19
页数:11
相关论文
共 153 条
  • [11] Bigelow, Callaghan, Hopps, General hypothermia for experimental intracardiac surgery: the use of electrophrenic respirations, an artificial pacemaker for cardiac standstill, and radio-frequency rewarming in general hypothermia, Ann Surg, 132, pp. 531-539, (1950)
  • [12] Bigelow, Lindsay, Greenwood, Hypothermia: its possible role in cardiac surgery: an investigation of factors governing survival in dogs at low body temperatures, Ann Surg, 132, pp. 849-866, (1950)
  • [13] Boerema, Wildschut, Schmidt, Broekhuysen, Experimental researches into hypothermia as an aid in the surgery of the heart, Arch Chir Neerl, 3, pp. 25-34, (1951)
  • [14] Swan, Zeavin, Blount, Virtue, Surgery by direct vision in the open heart during hypothermia, J Am Med Assoc, 153, pp. 1081-1085, (1953)
  • [15] Lewis, Varco, Taufic, Repair of atrial septal defects in man under direct vision with the aid of hypothermia, Surgery, 36, pp. 538-552, (1954)
  • [16] Lewis, Taufic, Closure of atrial septal defects with the aid of hypothermia: experimental accomplishments and the report of one successful case, Surgery, 33, pp. 52-59, (1954)
  • [17] Bailey, Gundry, Razzouk, Wang, Sciolaro, Chiavarelli, Bless the babies: one hundred fifteen late survivors of heart transplantation during the first year of life, J Thorac Cardiovasc Surg, 105, pp. 805-814, (1993)
  • [18] Cooley, Ott, Frazier, Walker, Surgical treatment of aneurysms of the transverse aortic arch: experience with 25 patients using hypothermic techniques, Ann Thorac Surg, 32, pp. 260-272, (1981)
  • [19] Szentpetery, Crisler, Grinnan, Deep hypothermic arrest and left thoracotomy for repair of difficult thoracic aneurysms, Ann Thorac Surg, 55, pp. 830-833, (1993)
  • [20] Westaby, Hypothermic thoracic and thoracoabdominal aneurysm operation: a central cannulation technique, Ann Thorac Surg, 54, pp. 253-258, (1992)