目標體溫管理的「前世、今生與來世」

近年來，使用目標體溫管理的方式去照顧重症病人越來越多。有趣的是，有部份研究結果下來是反對降低體溫去治療病人，特別是降低到33℃的低溫狀態。現實中，這困境在短時間內仍無法得到解決。追溯人類的醫學史，我們可以發現有很多古籍手稿描寫了使用冷療法或甚至操縱體溫來治療多種疾病。從埃及時期到21世紀，這段歷史跨越了數千年之久。在這篇敘述性評論中，它將描述溫度治療在歷史上用於不同的醫學用途上及其演變過程。希望透過這文章能夠為我們在重症病人的溫度管理問題上提供新的視野。

關鍵字

目標體溫管理；低溫治療；溫控演進

並列摘要

The implementation of targeted temperature management in critically illness is increasingly in recent years. Intriguingly, there were studies against the hypothermia especially lowering to 33℃ in specific occasions. This dilemma still cannot be resolve in a short period of time. Tracing back our human medical history, we can found that there were many manuscript had been described the use cold therapy or even manipulate of body temperature for the treatment of diversity of diseases. This history spanned over thousands of year, from Egyptian period to 21st century. In this narrative review, it will be describing the evolution of the medical use of temperature control for different therapeutic purposes. Hopefully, this can provide us a new vision in the issues of temperature management for the critical illness.

並列關鍵字

targeted temperature management ； therapeutic hypothermia ； evolution of temperature control

參考文獻

Bernard, S. A., Gray, T. W., Buist, M. D., et al. (2002). Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med, 346, 557-563. http://doi.org/10.1056/NEJMoa003289

Bohl, M. A, Martirosyan, N. L., Killeen, Z. W., et al. (2018). The history of therapeutic hypothermia and its use in neurosurgery. J Neurosurg, 1, 1-15. http://doi.org/10.3171/2017.10.JNS171282

Botterell, E. H, Lougheed, W. M., Morley, T. P., et al. (1958). Hypothermia in the surgical treatment of ruptured intracranial aneurysms. J Neurosurg, 15, 4-18. http://doi.org/10.3171/jns.1958.15.1.0004

Botterell, E. H., Lougheed, W. M., Scott, J. W., et al. (1956). Hypothermia, and interruption of carotid, or carotid and vertebral circulation, in the surgical management of intracranial aneurysms. J Neurosurg, 13, 1-42. http://doi.org/10.3171/jns.1956.13.1.0001

Brandt-Rauf, P. W. Brandt-Rauf. (1987). History of occupational medicine: Relevance of Imhotep and the Edwin Smith papyrus. Br J Ind Med, 44, 68-70. http://doi.org/10.1136/oem.44.1.68

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