[Intra-anesthetic hypothermia].

N Mircea, N Angelescu, E Jianu, N M Constantinescu, N Jitea, T Burcoş, M Barbulescu, M Vlad, C Geogrescu
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Abstract

Oesophageal temperature was recorded after induction of anesthesia, and further, at one, two and three hours. Temperature in the operation hall was continuously monitored. In relation to the temperature in the operating hall the effects on the patient were of three kinds: 1. operating halls with low temperatures (under 21 degrees C) where all the patients become hypothermic; 2. operating halls with an intermediate temperature (21-24 degrees C), where 67% of the patients remain normothermic; 3. operating halls with high temperatures (above 24 degrees C) where all the patients remain normothermic, although these temperatures are uncomfortable for the medical personnel, and increase the septic risk of the patient. When the oesophageal temperature of the patients falls by 0.5 degrees C chills will occur in 40% of the patients. Thermal falls of less than 0.5 degrees C will also determine chills but in only 10.5% of the cases. Immediate postanesthesia chills are also recorded in normothermic patients, but there is a direct relationship between the temperature in the operating hall, the degree of hypothermia and the frequency of chills, while the site of the surgery or the duration of the operation have but an unsignificant influence on intra-anesthetic temperature.

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(Intra-anesthetic体温过低)。
在麻醉诱导后以及随后的1、2、3小时记录食道温度。对手术大厅温度进行连续监测。与手术室温度有关,对患者的影响有三种:1。低温手术室(21℃以下),所有患者体温过低;2. 中等温度(21-24℃)的手术室,67%的患者保持体温正常;3.高温手术室(24摄氏度以上),所有病人保持恒温,尽管这样的温度对医务人员来说不舒服,并增加病人的化粪池风险。当患者食道温度下降0.5℃时,40%的患者会发生寒战。低于0.5摄氏度的热下降也会导致寒战,但只有10.5%的病例。在体温正常的患者中,也会有立即的麻醉后寒战记录,但手术大厅的温度、体温过低程度和寒战频率之间存在直接关系,而手术地点或手术时间对麻醉内温度的影响不显著。
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