3种方法对海水浸泡致重度体温过低症犬的复温效果研究

被引：9

作者：

江朝光

毕建立

李佳春

李功宋

谭燕

机构：

[1] 解放军总医院心血管外科

[2] 解放军总医院心血管外科北京

[3] 北京

来源：

中华胸心血管外科杂志 | 2001年 / 06期

关键词：

体温; 海水浸泡; 复温;

D O I：

暂无

中图分类号：

R605.97 [急救外科学];

学科分类号：

100218 ;

摘要：

目的　冷海水浸泡所致的体温过低症死亡率很高 ,有效地复温是治疗的关键。比较 3种复温方法的复温效果以及对实验犬的血流动力学影响。方法　实验犬共 12只 ,全麻后分为 3组 ,分别置于 (12± 2 )℃的冷海水中 ,待肛温 2 5℃时 ,分别采用体外循环血液复温、腹腔灌流、胸腔灌流技术进行复温。观察指标为血流动力学和复温速率。结果　复温后各组犬的心输出量、心率、平均动脉压均明显改善 (P <0 0 5 )。结论　复温速率以体外循环血液复温最快 ,腹腔复温优于胸腔复温 (P <0 0 5 )。

引用

页码：42 / 44

页数：3

共 11 条

[1]

Danzl DF,Pozos RS Accidental hypothermia. The New England Journal of Medicine . 1994

[2]

Loyd EL.Accidental hypothermia. Resuscitation . 1996

[3]

Rittenhouse EA,Morhi H,Dillard DH,et al.Deep hypothermia in cardiovascular surgery. The Annals of Thoracic Surgery . 1974

[4]

Kent NH,Scott AS,Clincinnati O.Closed thoracic cavity lavage in the treatment of severe hypothermia in human being. Ann Engl Med . 1990

[5]

Robin JL,Suzanne HA,Michael AJ,et al.Successful CPR in a severely hypothermic patient using continuos thoracostomy lavage. Ann Engl Med . 1990

[6]

Hayward JS,Eckerson JD,Kemna D.Thermal and cardiovascular changes during three methods of resuscitation from mild hypothermia. Resuscitation . 1984

[7]

Otto RL,Metzle MJ.Rewarming from experimental hypothermia:Comparison of heated aerosol inhalation, peritoneal lavage, and pleural lavage. Critical Care Medicine . 1988

[8]

Walpoth BH,Locher T,Leupi F,et al.Accidental deep hypothermia with cardiopulmonary arrest: extracorporeal blood rewarming in 11 patients. European Journal of Cardio Thoracic Surgery . 1990

[9]

Reular JB.Hypothermia: pathophysiology, clinic setting, and management. Annals of Internal Medicine . 1978

[10]

Weyman AE,Greenbaum DM,Grose WJ.Accidental hypothermia in an alcoholic population. The American Journal of Medicine . 1974

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