患者蘇醒期出現寒戰引發的思考( 三 )


體感溫度不適—術后低體溫會使清醒的患者感到不適 , 雖然沒有生命危險 , 但這種不適通常程度較重、持續較久 。 在一項研究中 , 未接受額外加溫/保溫措施的患者在手術結束時體溫偏低2℃ , 需要2小時才能恢復正常體溫和舒適狀態[26] 。 根據個案經驗 , 與疼痛、惡心不同 , 關于術后過冷/過熱不適感的記憶可留存多年 。 主動的皮膚加溫可顯著減輕體感溫度不適、加快復溫 。 與術后治療低體溫相比 , 通過術中充分保暖來防止體感溫度不適和寒戰顯然更可取 。
作者:張子銀廣州中醫藥大學第一附屬醫院
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