smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2025-26-4-65-74smp-985Research ArticleАНЕСТЕЗИОЛОГИЯ И РЕАНИМАТОЛОГИЯANESTHESIOLOGY AND RESUSCITATIONТяжелая гипотермия. Современные представления о диагностике и леченииSevere hypothermia. Modern concepts of diagnosis and treatmenthttps://orcid.org/0000-0003-2884-3125БузановД. В.BuzanovD. V.

Бузанов Дмитрий Владимирович —  ассистент кафедры скорой медицинской помощи ; врач анестезиолог- реаниматолог

 191015, Санкт- Петербург, Кирочная ул., д. 41

193312, Санкт- Петербург, пр. Солидарности, д. 4

Dmitrii V. Buzanov

St. Petersburg

dima.buzanov@mail.ruВинниковИ. С.VinnikovI. S.

Винников Иван Сергеевич —  врач анестезиолог- реаниматолог

193312, Санкт- Петербург, пр. Солидарности, д. 4

Ivan S. Vinnikov

St. Petersburg

 

ivavinn02@gmail.comhttps://orcid.org/0000-0002-9235-1910МирошниченкоА. Г.MiroshnichenkoA. G.

Мирошниченко Александр Григорьевич —  доктор медицинских наук, профессор, заведующий кафедрой скорой медицинской помощи;  главный научный сотрудник лаборатории организации здравоохранения Национального медицинского исследовательского центра по направлению «Скорая медицинская помощь»;  главный научный сотрудник отдела организации скорой медицинской помощи и телемедицины

191015, Санкт- Петербург, Кирочная ул., д. 41

197022, Санкт- Петербург, ул. Льва Толстого, д. 6–8

 192242, Санкт- Петербург, Будапештская ул., д. 3

Aleksander G. Miroshnichenko

St. Petersburg

 

agm0303@mail.ruФГБОУ ВО «Северо- Западный государственный медицинский университет им. И. И. Мечникова» Минздрава России; СПб ГБУЗ «Александровская больница»РоссияNorth- Western State Medical University named after I. I. Mechnikov; Aleksander City HospitalRussian FederationСПб ГБУЗ «Александровская больница»РоссияAleksander City HospitalRussian FederationФГБОУ ВО «Северо- Западный государственный медицинский университет им. И. И. Мечникова» Минздрава России; ФГБОУ ВО «Первый Санкт- Петербургский государственный медицинский университет им. акад. И. П. Павлова» Минздрава России; ГБУ «Санкт- Петербургский научно- исследовательский институт скорой помощи им. И. И. Джанелидзе»РоссияNorth- Western State Medical University named after I. I. Mechnikov; Pavlov First St. Petersburg State Medical University; St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. DzhanelidzeRussian Federation2025201220252646574Copyright © Бузанов Д.В., Винников И.С., Мирошниченко А.Г., 20252025Бузанов Д.В., Винников И.С., Мирошниченко А.Г.Buzanov D.V., Vinnikov I.S., Miroshnichenko A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/985

Тяжелая гипотермия (снижение внутренней температуры менее 28 °C) —  жизнеугрожающее состояние, требующее согласованной этапной реанимационной помощи, имеющей свои особенности. Цель данного обзора современных источников литературы и анализа собственного практического опыта —  повышение уровня информированности врачей выездных бригад и стационарных отделений скорой медицинской помощи (СМП) в вопросах диагностики, клиники и современных подходов к лечению пациентов в состоянии тяжелой гипотермии.

Severe hypothermia (decrease in internal temperature below +28 °C) is a life–threatening condition requiring coordinated staged intensive care, which has its own characteristics. The purpose of this review and analysis of our own practical experience is to increase the awareness of doctors of visiting teams and inpatient emergency departments (SMP) in matters of diagnosis, clinic and modern approaches to the treatment of patients with severe hypothermia.

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The authors declare that there are no conflicts of interest present.