Severe Accidental Hypothermia, Diagnostic Confirmation Without a Low Reading Thermometer: A Case Report

如何在沒有低讀數體溫計的情況下診斷低體溫

黃集仁(Chip-Jin Ng) ； 卜樂得(Michael J. Bullard) ； 林忠順(Tiing-Soon Ling) ； 石明煌(Ming-Hwang Shyr) ； 廖訓禎(Shiumn-Jen Liaw)

《中華民國急救加護醫學會雜誌》 7卷1期 (1996/03) Pp. 37-42

https://doi.org/10.30018/JECCM.199603.0007

摘要

低體溫定義爲中心體溫低於攝氏35度，一般在臨床上使用的溫度計無法測量到攝氏35度以下，因此，低體溫病人常被忽略而沒有得到診斷。在急救的過程中，不正確的體溫可能會導致不當的處理，嚴重的話可能會導致死亡。
本文描述在沒有低讀數體溫計的情況下，如何去利用臨床表現、檢驗數據及心電圖的特徵來推測病人的中心體溫，並給予適切的治療。

關鍵字

低體溫 ； 臨床診斷

並列摘要

We present a patient who, griefstruck at his mother's death,　 first tried to drown his sorrows in alcohol and then smashed his head into his mother's tombstone injuring his neck and rendering him quadriplegic. Unable to move, he spent a cold January night outside in the rain. On arrival at the Emergency Department (ED), he had a decreased level of consciousness and profound bradycardia. While hypothermia was suspected, the severity was not appreciated due to lack of a low reading thermometer. Through a careful review of the clinical and laboratory findings, we describe a process for extrapolating the core temperature and discuss the potential risks and front line needs for hypothermia patients in Taiwan.

並列關鍵字

accidental hypothermia ； clinical diagnosis