Bolte R G, Black P G, Bowers R S, Thorne J K, Corneli H M
Department of Pediatrics, Primary Children's Medical Center, Salt Lake City, UT 84103.
JAMA. 1988 Jul 15;260(3):377-9.
A 2 1/2-year-old girl had a good neurologic recovery after submersion in cold water for at least 66 minutes; as far as we know, this is the longest time ever reported. Cardiopulmonary resuscitation was maintained for more than two hours before the initiation of extracorporeal rewarming in this child who had a core temperature of 19 degrees C. To our knowledge, this is the first successful use of extracorporeal rewarming in a child suffering from accidental hypothermia. Extension of this technique to children offers rapid rewarming and cardiovascular support for pediatric victims of severe hypothermia. We emphasize the importance of a coordinated response by the entire emergency medical system integrated with hospital-based personnel. Where it is geographically feasible, regionalization of triage and care for the pediatric victim of severe accidental hypothermia should be considered.
一名2岁半女童在冷水中浸泡至少66分钟后神经功能恢复良好；据我们所知，这是有报道以来最长的浸泡时间。该患儿核心体温为19摄氏度，在开始体外复温前进行了两个多小时的心肺复苏。据我们所知，这是首次成功地对意外低温患儿使用体外复温技术。将该技术应用于儿童可为严重低温的儿科受害者提供快速复温和心血管支持。我们强调整个急救医疗系统与医院工作人员协调应对的重要性。在地理条件可行的地方，应考虑对严重意外低温的儿科受害者进行分诊和护理的区域化。
