Ecklund Margaret M, Wahl Gary, Yamshchikov Alexandra V, Smith Michael S
Pulmonary Care, Rochester General Health System, 1425 Portland Avenue, Rochester, NY 14621, USA.
Crit Care Nurs Clin North Am. 2012 Dec;24(4):601-23. doi: 10.1016/j.ccell.2012.07.002. Epub 2012 Aug 21.
This article discusses a woman who collapsed and landed in a puddle of water in a park near a horse trail. Her rescue and resuscitation started an extraordinary effort by her body to heal from multiple insults. This case study highlights the diagnosis and support of polymicrobial pneumonia secondary to near drowning and the multisystem complications throughout the 3-month hospitalization. It highlights the evidence for treatment of the polymicrobial nature of submersion injury, acute lung injury, and benefits of progressive mobility. Social media as a tool for the family's communication and coping are also discussed.
本文讲述了一名女子在靠近马道的公园中晕倒,掉进一滩水中的事件。对她的救援和复苏引发了她的身体为从多重损伤中痊愈而做出的非凡努力。本案例研究重点介绍了近乎溺水继发的多微生物肺炎的诊断与支持,以及整个3个月住院期间出现的多系统并发症。它强调了针对浸没伤的多微生物性质、急性肺损伤的治疗证据,以及渐进性活动的益处。还讨论了社交媒体作为家庭沟通与应对工具的情况。