Gauthier M
Unité de soins intensifs pédiatriques, hôpital Sainte-Justine, Côte Ste-Catherine, Montréal, Canada.
Rev Prat. 1990 Mar 21;40(9):812-6.
Drowning is one of the most common causes of death in children. Near-drowning is even more frequent: near-drowning/drowning ratio is approximately 9-10/1. The age-groups between 1 and 3 years and 15 and 25 years are most likely to be at risk for submersion accidents. The majority of drowning accidents in children occur in swimming pools and bathtubs. The awake or stuporous victim has an excellent prognosis. In comatose patients, the prognosis is directly proportional to the severity of coma. Treatment is mostly supportive. Despite optimal care, it is not infrequent for a near-drowning accident to end in death or severe neurological handicap. Prevention must be a priority for the medical profession.
溺水是儿童最常见的死亡原因之一。近乎溺水的情况更为频繁:近乎溺水/溺水的比例约为9 - 10比1。1至3岁以及15至25岁的年龄组最容易发生溺水事故。儿童溺水事故大多发生在游泳池和浴缸。清醒或昏睡的受害者预后良好。昏迷患者的预后与昏迷严重程度直接相关。治疗主要是支持性的。尽管给予了最佳护理,但近乎溺水事故最终导致死亡或严重神经功能障碍的情况并不少见。预防必须成为医学界的首要任务。