| 摘要: |
| ［摘要］ 目的 探讨体表降温及血管内降温治疗急性重型颅脑外伤的安全性。方法 选择急性重型颅脑外伤患者30例，采用随机数字表法分为体表降温组（A组，n=15）和血管内降温组（B组，n=15），对比两组患者达到目标降温温度时间、偏离目标温度1 ℃发生率、患者出现低血压、心率失常及电解质紊乱等并发症的发生率及达到目标复温温度时间。结果 两组达到目标降温温度时间、达到目标复温温度时间及偏离目标温度1 ℃发生率比较差异有统计学意义（P<0.05）。出现低血压、心率失常及电解质紊乱等并发症发生率比较差异无统计学意义（P>0.05）。结论 血管内降温具有降温速度快、维持目标体温平稳、复温简单平稳及并发症发生率低等特点，具有良好的安全性。 |
| 关键词: 急性重型颅脑外伤 血管内降温 体表降温 |
| DOI：10.3969/j.issn.1674-3806.2015.10.12 |
| 分类号:R 651.1+5 |
| 基金项目: |
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| Comparison of safty between surface cooling and endovascular cooling in the treatment of acute severe brain injury |
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LIU Jun, CAO De-chen
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Department of Neurosurgery, the People′s Hospital of Hechi,Guangxi 547000,China
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| Abstract: |
| ［Abstract］ Objective To explore the safety of two kinds of mild hypothermia in the treatment of acute severe brain injury.Methods Thirty patients were randomly divided into group A(treated with surface cooling) and group B(treated with endovascular hypothermia). The time to reach target cooling temperature, the incidence of 1 ℃ deviated from the target temperature hypotension rate, heart arrhythmia rate and electrolyte disorder rate and other complications were compared between the two groups.Results There were significant differences in the target cooling temperature time and the incidence of 1 ℃ deviated from the target temperature between the two groups(P<0.05). There were no significant differences in hypotension rate,heart arrhythmia rate, electrolyte disorder rate and other complications between the two groups(P>0.05).Conclusion Endovascular cooling is a safe and efficient treatment method for quickly maintaining the target temperature with features of simplicity, stability and less complications. |
| Key words: Acute severe brain injury Endovascular cooling Surface cooling |
