术中高体温危害、原因及防治研究进展  

Progress on hazard,cause,prevention and treatment of intraoperative hyperthermia

作　　者：常建华 刘荣林 杨瑞[1] CHANG Jianhua;LIU Ronglin;YANG Rui(Department of Anesthesiology,Shaanxi Provincial People’s Hospital,Xi’an 710068,China)

机构地区：[1]陕西省人民医院麻醉科,陕西西安710068

出　　处：《陕西医学杂志》2024年第12期1726-1728,F0003,共4页Shaanxi Medical Journal

基　　金：陕西省重点研发计划项目(2020SF-154);陕西省人民医院科技发展孵化基金资助项目(2023YJY-48)。

摘　　要：目前术中高体温尚未得到重视,但高体温对手术患者的危害并不亚于低体温,恶性体温升高可能危及患者生命。术中高体温原因众多,包括手术因素、麻醉因素、环境因素、患者自身疾病等,需从避免诱发因素、加强体温监测、采取适宜温度管理策略等几方面进行主动预防。在术中高体温发生时,要在查找原因的同时及时采取相应的降温措施。对于疑为恶性高热者,要按照抢救流程给予针对性治疗。现从危害、原因、预防及处理几方面对术中高体温进行综述,以引导麻醉医师加强术中体温监测,早期发现并及时处理以术中体温升高为主要表现的异常情况,从而保障患者术中安全。At present,intraoperative hyperthermia has not received much attention,but hyperthermia is no less harmful to surgical patients than hypothermia,and malignant hyperthermia may endanger patients’lives.There are many reasons for intraoperative hyperthermia,including surgical factors,anesthesia factors,environmental factors,and patients’own diseases,etc.Active prevention should be carried out from several aspects,such as avoiding inducing factors,strengthening temperature monitoring,and adopting appropriate temperature management strategies.When intraoperative hyperthermia occurs,it is necessary to find out the cause and take corresponding cooling measures in time.For those suspected of malignant hyperthermia,targeted treatment should be given according to the rescue process.This article reviews intraoperative hyperthermia from the aspects of hazard,cause,prevention and treatment,in order to guide anesthesiologists to strengthen intraoperative temperature monitoring,early detect and timely treat abnormal conditions with intraoperative hyperthermia as the main manifestation,so as to ensure the safety of patients during surgery.

关 键 词：高体温 术中 原因 危害 预防 处理 

分 类 号：R472.3[医药卫生—护理学]