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Chin. J. Traumatol. · Nov 1998
The effects of mild hypothermia on patients with severe traumatic brain injury.
- Jiyao Jiang, Cheng Zhu, Yicheng Lu, Guangji Zhang, Mingkun Yu, and Guoyi Gao.
- Second Military Medical University, Shanghai 200003, China.
- Chin. J. Traumatol. 1998 Nov 15; 1 (1): 17-20.
ObjectiveTo investigate the protective effects of mild hypothermia (33-35 degrees C) on the outcome of patients with severe traumatic brain injury (TBI) (GCS<8). MethodsPatients 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. ResultsThe 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. ConclusionsOur clinical data have demonstrated that mild hypothermia is a useful method for management of patients with severe traumatic brain injury.
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