[Hepatic disorders and nephropathies as the criteria of the severity of general hypothermia].
Comprehensive examination of 27 subjects who had suffered from supercooling in cold water and autopsy evidence on 7 victims of general supercooling provided data on structural and functional impairment of the liver and kidneys varying in gravity and duration. The highest informative value in the diagnosis of hepato- and nephropathies belongs to biochemical tests able to detect hyperbilirubinemia, aminotransferase hyperactivity, elevated levels of blood urea and creatinine++. The underlying pathological mechanism in the liver and kidney under supercooling is disturbed microcirculation. The severity and duration of hepato- and nephropathy depend on the seriousness of general cooling.
Ivashkin
V T
VT
Tel'nykh
Iu V
IuV
D000328:Adult; D006801:Humans; D007035:Hypothermia / Q000150:complications* / Q000503:physiopathology; D007101:Immersion / Q000009:adverse effects* / Q000503:physiopathology; D007668:Kidney / Q000503:physiopathology; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D007677:Kidney Function Tests; D008099:Liver / Q000503:physiopathology; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008111:Liver Function Tests; D008297:Male; D012720:Severity of Illness Index