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This is how a Norwegian woman survived the lowest body temperature ever recorded
She froze to death and lived to tell the tale.
, 29-year-old radiologist Anna Bågenholm and two other young doctors set out for a day of skiing in the Kjolen Mountains of Norway.
All experienced skiers, they headed off track to enjoy the fresh powder, but Bågenholm took a fall and slid downhill, landing head-first through the ice of a frozen stream.
Anna Bågenholm以及其他兩位年輕醫生出發前往挪威的基阿連山脈（Kjolen Mountains）滑雪。所有有經驗的滑雪者會避開人多的地方享受新鮮的白雪，但是Bågenholm女士跌倒，並且滑落斜坡，頭先著地，撞上結冰的河流。，二十九歲的放射科醫生
Her friends quickly grabbed hold of her skis and tried to pull her out, but the ice was too thick and she was jammed between rocks. They called for help, but in the meantime, Bågenholm was stuck upside down, in heavy gear, and being pulled in by icy cold water – pretty much a worst-case scenario.
Thankfully, she managed to find a pocket of air, and struggled to stay conscious waiting for help to arrive, but after 40 minutes, she stopped moving. By the time the rescue team arrived, she had been under the ice for 80 minutes, and was frozen solid.
By the time she reached the operating room at the hospital, it had been more than 2.5 hours since she first fell in the ice, and her temperature was still an unprecedented 13.7 degrees Celsius (56.7 Fahrenheit).
“On the ECG [electrocardiogram], which the doctor on the helicopter has connected her to, there is a completely flat line. Like you could have drawn it with a ruler. No signs of life whatsoever.”
當她被送到醫院的手術室時，從她落冰開始已經過了兩個小時半，而她的體溫來到前所未有的攝氏13.7 度（華氏56.7 度）。
But he made an important decision. “We will not declare her dead until she is warm and dead,” .
Gilbert’s hope was that Bågenholm was so cold that her brain would have begun to slow down before she died, protecting it from damage.
At our bodies’ preferred temperature of 37.5 degrees Celsius (99.5 Fahrenheit), our brains can only go without oxygen before irreversible damage sets in. But as we cool down, the body’s metabolism also slows way down in order to keep us alive, which means the brain can get by with far less oxygen.
Gilbert 做了一個重要的決定， ：「我們不會宣告她死亡，直到她的身體溫暖但是死亡。」
身體喜愛的溫度是攝氏37.5 度（華氏99.5 度），我們的大腦只能在缺氧狀態下支撐，在不可逆的傷害發生前。但是當我們冷卻，我們身體的代謝也會慢下來，維持我們的生命，也就是說大腦可以再更缺氧的情況下撐過去。
His team hooked Bågenholm up to a heart-lung machine, and they pumped her blood out of her body to warm up before circulating it through her again – very gradually, over several hours, her temperature began to rise.
The heart monitor blipped a few times, but continued to flatline. The team waited.
At around 4pm the next day, almost a day after Bågenholm had fallen into the river, her heart restarted, and began pumping the blood on its own again.
Gradually the rest of her body began to heal, too. After 12 days, she opened her eyes, but it took more than a year for her to be able to move and walk again due to nerve damage.
他的團隊將Bågenholm女士與人工心肺機（heart-lung machine）連結，他們將她的血液抽出並加溫，在血液重回她的身體循環前。最終，經過幾小時後，她的體溫開始上升。心臟監測儀（heart monitor）有幾次反應，但是之後還是顯示水平。整個團隊等待著。在隔天下午四點左右，經過Bågenholm 掉下河中幾乎一天後，她的心跳又開始跳動了，開始自己泵送血液。最終身體其他的部分也開始痊癒。經過十二天後，她張開了她的眼睛，但是她花了超過一年才能再開始走路、移動，因為神經的損害。
She’s now fully recovered, and works at the same hospital that saved her life.
Her case didn’t only make the record books, and a study in journal – it also changed the way doctors approached hypothermia deaths.
“In a victim of very deep accidental hypothermia, nine hours of resuscitation and stabilisation led to good physical and mental recovery. This potential outcome should be borne in mind for all such victims,”
Before 1999, no patient had survived being frozen to death at the University Hospital of North Norway. But between 1999 and 2013, nine out of 24 patients survived hypothermic cardiac arrest, a
在1999 年以前，沒有低溫死亡的患者在北挪威大學醫院（University Hospital of North Norway）存活。但是在1999 年到2013 年間，有在二十四位病人中有九位從低溫心臟驟停中存活，這被記錄在一份 中。
Doctors at the are now actually inducinghypothermia in critical patients, to in which they can stop their bleeding and save their lives.
“We think of death as being a moment in time,” physiologist Kevin Fong , “but actually, it is a process.”
“It’s the three important things about emergency medicine, which is never give up, never give up, never give up,” Torvind Næsheim, one of the doctors who was skiing with Bågenholm that day . “Because there’s always hope.”
（ ）的醫生現在將低溫死亡列入危重病人中，讓這類病人能 止血並被救活。
生理學家Kevin Fong( National Public Radio，全公共廣播電台)：「我們一開始有想過沒希望了，但是這只是過程。」
與Bågenholm 女士一同滑雪的醫生Torvind Næsheim：「緊急治療最重要三件事是永不放棄、永不放棄、永不放棄。因為永遠有希望。」