Kibel S M, Nagel F O, Myers J, Cywes S
Department of Paediatric Surgery, University of Cape Town.
S Afr Med J. 1990 Oct 6;78(7):418-21.
The epidemiological findings in 107 patients admitted to Red Cross War Memorial Children's Hospital, Cape Town, between 1976 and 1987 with a diagnosis of near-drowning are reported. Of these patients, 77% were less than 5 years of age (ratio of boys to girls 2.1:1) and 46% of accidents occurred in swimming pools, 18% in buckets and only 9% in the sea. The high percentage of bucket near-drownings is unique in published medical reports; this appears prevalent in socially disadvantaged communities. Seventy-six per cent of the children were normal on discharge from hospital, 12% died and 6% had neurological damage. In 6% the final outcome was not known. These results are in keeping with other hospital-based studies. Preventive strategies are discussed and the need for further research highlighted.
报告了1976年至1987年间在开普敦红十字战争纪念儿童医院收治的107例诊断为近乎溺水的患者的流行病学调查结果。这些患者中，77%年龄小于5岁（男童与女童比例为2.1:1），46%的事故发生在游泳池，18%发生在水桶，只有9%发生在海里。水桶近乎溺水的高比例在已发表的医学报告中是独一无二的；这在社会弱势社区似乎很普遍。76%的儿童出院时情况正常，12%死亡，6%有神经损伤。6%的最终结果未知。这些结果与其他基于医院的研究一致。讨论了预防策略，并强调了进一步研究的必要性。
