首页> 外文期刊>The New England journal of medicine >Therapeutic hypothermia after cardiac arrest.
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Therapeutic hypothermia after cardiac arrest.

机译:心脏骤停后的治疗性体温过低。

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to the editor: Although therapeutic hypothermia is a well-known technique for the treatment of patients with cardiac arrest, it may also be useful in other critical conditions such as myocardial injury in cardiogenic shock. We observed substantial improvement in hemodynamic variables during hypothermia and in the rewarming period after administering therapeutic hypothermia for 34 hours in a patient in whom cardiogenic shock developed after cardiac-valve surgery. Other investigators have documented recovery of the left ventricular ejection fraction after therapeutic hypothermia.In our opinion, a categorical recommendation not to use therapeutic hypothermia in circumstances other than cardiac arrest could delay the development of other uses for this therapy, such as that mentioned above. As Varon and Nan-lohy have stated, "Therapeutic hypothermia in the year 2010: it is about time!"
机译:致编辑:尽管治疗性低温疗法是治疗心脏骤停患者的众所周知的技术,但它在其他危急情况下(如心源性休克的心肌损伤)也可能有用。我们观察到在进行了心脏瓣膜手术后发生心源性休克的患者中,在低温治疗期间以及在给予治疗性低温治疗34小时后的复温期中,血液动力学变量有了显着改善。其他研究者也记录了治疗性低温治疗后左心室射血分数的恢复。我们认为,明确建议不要在心脏骤停以外的情况下使用治疗性低温治疗,这可能会延缓这种治疗方法的其他用途的开发,例如上文所述。正如Varon和Nan-lohy所说:“ 2010年的治疗性体温过低:现在该到了!”

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