多器官衰竭热中风的血管外温度控制:一个幸存者的病例报告
Van Ha Thi Bich1, Lich Nguyen Duc1, Anh Tran Ngoc1
1Phu Tho Provincial General Hospital Phu Tho Vietnam.
Clinical case reports
|January 31, 2025
概括
血管外温度控制有效地治疗了一个年轻男性的严重热中风病例. 这种方法,结合器官支持,导致患者康复和出院.
科学领域:
- 紧急医疗 紧急医疗
- 关键护理医学 关键护理医学
- 环境健康 环境健康
背景情况:
- 热中风是一种危及生命的疾病,由温度调节受损引起.
- 及时和适当的治疗对于预防死亡至关重要.
- 严重的热中风可能导致多器官衰竭.
研究的目的:
- 报告一种严重热中风的临床病例,用血管外温度控制来治疗.
- 评估血管外冷却在治疗高温症及其并发症方面的有效性.
主要方法:
- 一名21岁的中暑男性 (体温为41°C) 接受了血管外温度控制治疗.
- 治疗性低温开始在24小时内达到33°C的目标温度.
- 在16小时内进行控制的升温至37°C,随后对器官功能障碍进行支持性护理.
主要成果:
- 在温度控制后,患者的意识显著改善 (GCS 5至10).
- 治疗性低温维持了4天.
- 尽管最初情况有所改善,但患者仍出现肝衰竭和凝血障碍,需要使用血治疗.
- 患者在住院24天后得到了出院.
结论:
- 血管外温度控制是严重热中风的有效治疗方式.
- 成功管理热中风需要快速冷却和治疗相关器官损伤的组合.
- 这一案例凸显了高级冷却技术在重症监护机构的潜力.
相关概念视频
Responses to Heat and Cold Stress
Every organism has an optimum temperature range within which healthy growth and physiological functioning can occur. At the ends of this range, there will be a minimum and maximum temperature that interrupt biological processes.
Factors Affecting Body Temperature
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
Increased Body Temperature
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
Decreased Body Temperature
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by sustained extreme cold exposure, and severe...
Homeostatic Imbalances in Body Temperature
Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...


