Govindaraj Santhiya, Viswanathan Stalin
Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry, India.
Clin Pract. 2011 Oct 3;1(3):e70. doi: 10.4081/cp.2011.e70. eCollection 2011 Jul 1.
We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.
我们报告了一例近乎溺水的受害者，其伴有中毒且无胸部或颈部创伤，出现了纵隔气肿、双侧气胸和急性呼吸窘迫综合征。胸部X线片显示了上述 findings，随后经计算机断层扫描得以证实。他处于休克状态，还伴有胃肠道出血和肾功能障碍。通过包括补液、输血、肋间置管引流和机械通气在内的充分复苏措施，他完全康复。近乎溺水患者的良好预后指标包括较高的格拉斯哥昏迷量表评分、较短的淹没时间以及即使存在严重心肺或血流动力学损害时仍能迅速采取复苏措施。
