Chen Ming-Chun, Chu Chia-Hsiang, Cheng Ching-Feng, Lin Jun-Song, Chen Jui-Hsia, Chang Yu-Hsun
Department of Pediatrics, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Department of Medicine, Tzu Chi University, Hualien, Taiwan.
Tzu Chi Med J. 2016 Oct-Dec;28(4):180-182. doi: 10.1016/j.tcmj.2016.07.003. Epub 2016 Sep 15.
A 1-year-10-month-old boy was admitted to our pediatric intensive care unit due to near drowning with pulmonary edema. A conventional ventilator with 100% oxygen supplementation was used initially, but was shifted to high frequency oscillatory ventilation as his oxygen saturation was around 84-88%. Therapeutic hypothermia was applied due to hypoxic ischemic encephalopathy with severe acidosis. His respiratory condition improved and he was extubated successfully on the 6 hospital day. The patient had no obvious neurological defects and he was discharged in a stable condition after 17 days of hospitalization. Our case report demonstrates the advantages of therapeutic hypothermia on survival and neurological outcomes in treating pediatric near drowning patients.
一名1岁10个月大的男孩因近乎溺水伴肺水肿入住我们的儿科重症监护病房。最初使用常规呼吸机并补充100%的氧气，但由于其血氧饱和度在84%-88%左右，随后改为高频振荡通气。因缺氧缺血性脑病伴严重酸中毒而进行了治疗性低温治疗。他的呼吸状况改善，在住院第6天成功拔管。该患者没有明显的神经功能缺陷，住院17天后病情稳定出院。我们的病例报告证明了治疗性低温治疗对小儿近乎溺水患者生存及神经功能转归的益处。
