The effects of mild hypothermia on patients with severe traumatic brain injury.
- Author:
Jiyao JIANG
1
;
Cheng ZHU
;
Yicheng LU
;
Guangji ZHANG
;
Mingkun YU
;
Guoyi GAO
Author Information
1. Second Military Medical University, Shanghai 200003, China.
- Publication Type:Journal Article
- From:
Chinese Journal of Traumatology
1998;1(1):17-20
- CountryChina
- Language:English
-
Abstract:
OBJECTIVE: To investigate the protective effects of mild hypothermia (33-35 degrees C) on the outcome of patients with severe traumatic brain injury (TBI) (GCS<8). METHODS: Patients in the mild hypothermia group were cooled to 33-35 degrees C by cooling blanket with muscular relaxant, and patients in the normothermia group were maintained at 37-38 degrees C. RESULTS: The result showed that the mortality was 26.1% (6/23) in the mild hypothermia group and 58.3% (14/24) in the normothermia group respectively (P<0.05). The mild hypothermia also markedly reduced intracranial pressure (P<0.01 and inhibited hyperglycermia (P<0.05). No significant side-effects were found during hypothermic treatment. CONCLUSIONS: Our clinical data have demonstrated that mild hypothermia is a useful method for management of patients with severe traumatic brain injury.
