Service de Réanimation Médicale, Hôpital Européen Georges Pompidou, 20-40, rue Leblanc, 75908 Paris cedex 15, France.
Prehosp Emerg Care. 2012 Jul-Sep;16(3):356-60. doi: 10.3109/10903127.2012.670691. Epub 2012 Apr 11.
Drowning following a fall from a bridge can lead to cardiac arrest caused by hypoxia, hypothermia, or severe traumatic injury. Every year patients are brought to our hospital who have nearly drowned in the local river after a jump from a bridge (approximate height 16-22 meters). We report traumatic injuries in patients admitted to our hospital for out-of-hospital cardiac arrest due to drowning.
We retrospectively reviewed the charts of all patients admitted to the intensive care units of our hospital for out-of-hospital cardiac arrest due to drowning after a jump from a bridge in the Seine River between 2002 and 2010. All clinical or radiologic evidence of trauma was recorded.
A total of 37 patients where admitted to our hospital for out-of-hospital cardiac arrest due to drowning. Fourteen patients had radiologic examinations. Five of these examinations showed evidence of severe trauma. In one case, clinical examination showed evidence of severe peripheral neurologic trauma. Seven of these patients (19%) were discharged from the hospital alive.
Patients found nearly drowned in a river spanned by a medium-height bridge should undergo spinal immobilization and complete radiologic examination as soon as possible.
从桥上坠落导致溺水可能会因缺氧、低体温或严重创伤而导致心脏骤停。每年都有患者从桥上跳下后在当地的河里几乎溺水，被送到我们医院。（桥的高度约为 16-22 米）。我们报告了因从塞纳河桥上跳下溺水导致院外心脏骤停而被送入我院重症监护病房的患者的创伤性损伤。
我们回顾性分析了 2002 年至 2010 年间因从塞纳河桥上跳下溺水导致院外心脏骤停而被送入我院重症监护病房的所有患者的病历。记录了所有临床或放射学的创伤证据。
共有 37 名患者因从桥上跳下溺水导致院外心脏骤停被送入我院。其中 14 名患者进行了放射学检查。其中 5 例检查显示有严重创伤的证据。在 1 例中，临床检查显示有严重的周围神经创伤的证据。这些患者中有 7 名（19%）出院时存活。
在被中等高度的桥横跨的河流中发现几乎溺水的患者应尽快进行脊柱固定和全面的放射学检查。
