Heimlich H J, Patrick E A
Xavier University, Cincinnati.
Postgrad Med. 1988 Aug;84(2):62-7, 71-3. doi: 10.1080/00325481.1988.11700363.
Flooding of the lungs occurs routinely in drowning victims. The cause of death in 90% of them is hypoxemia caused by water in the lungs. Mouth-to-mouth ventilation is ineffective until the water is removed. The Heimlich maneuver expels aspirated water, vomitus, debris, and other foreign matter. In treating near-drowning victims, place the victim in the supine position with head turned to the side and perform the Heimlich maneuver to evacuate water from the lungs, unless you know water is not in the respiratory tract. The Heimlich maneuver is a form of artificial respiration. It elevates the diaphragm, increasing intrathoracic pressure and compressing the lungs, and should be performed intermittently until all water is expelled. It is an especially useful technique because fear of contagion sometimes deters rescuers from using mouth-to-mouth ventilation . Further treatment has not been necessary in most instances. If the victim does not recover after water ceases to flow from the mouth, ventilation techniques, cardiopulmonary resuscitation, and other measures as indicated should be used.
溺水者肺部经常会被水淹没。其中90%的死因是肺部积水导致的低氧血症。在水被排出之前，口对口通气是无效的。海姆立克急救法能排出吸入的水、呕吐物、碎片和其他异物。在治疗近乎溺水的受害者时，将受害者置于仰卧位，头转向一侧，进行海姆立克急救法以排出肺部的水，除非你知道呼吸道中没有水。海姆立克急救法是一种人工呼吸方式。它抬高膈肌，增加胸腔内压力并压缩肺部，应间歇性进行，直到所有的水都被排出。这是一项特别有用的技术，因为对传染的恐惧有时会阻止救援人员进行口对口通气。在大多数情况下，进一步的治疗并不必要。如果受害者口腔不再流水后仍未恢复，应采用通气技术、心肺复苏术及其他适用的措施。
