Hausser J, Niquille M
Service de médecine interne générale, Département de médecine interne et Service d'anesthésiologie, Département d'anesthésiologie, pharmacologie et soins intensifs HUG, 1211 Genève 14.
Rev Med Suisse. 2007 Aug 15;3(121):1834-8.
Drowning is always a serious event, with high morbidity and mortality. Definitions were recently revised and simplified according to Utstein-style. The circumstances and prognosis differ in different age groups. Consequences of drowning are hypoxemia, acidosis and hypothermia. The management of drowning victims should be directed to the correction of these 3 elements. An early basic life support and an efficient oxygenation are keys of good prognosis, this one being mainly related to hypoxic cerebral damages. The most frequent complications except anoxic encephalopathy are bacterial pneumonia and ARDS.
溺水始终是一个严重事件，具有高发病率和死亡率。近期根据乌斯坦风格对定义进行了修订和简化。不同年龄组的情况和预后有所不同。溺水的后果包括低氧血症、酸中毒和体温过低。对溺水受害者的处理应针对这三个要素的纠正。早期基本生命支持和有效的氧合作用是良好预后的关键，良好预后主要与缺氧性脑损伤有关。除缺氧性脑病外，最常见的并发症是细菌性肺炎和急性呼吸窘迫综合征。
