关于溺水的现代概念。
Modern concepts about drowning.
作者信息
Segarra F, Redding R A
出版信息
Can Med Assoc J. 1974 May 4;110(9):1057 passim.
Drowning remains one of the three leading causes of accidental death in the world, yet few textbooks deal with its evaluation and treatment. Because of overemphasis placed upon distinguishing between fresh- and sea-water drowning, the importance of immediate attention to simple and effective resuscitative procedures has been bypassed. We have outlined a continuum of evaluation and treatment in four stages: (1) emergency care at the scene and during transportation, (2) hospital admission resuscitation, (3) intensive care, and (4) return to normal. Four representative cases are presented in order to review pathophysiological concepts in this serious problem.
溺水仍然是世界上三大意外死亡原因之一，但很少有教科书涉及对其的评估和治疗。由于过度强调区分淡水溺水和海水溺水，立即关注简单有效的复苏程序的重要性被忽视了。我们概述了四个阶段的连续评估和治疗：（1）现场和运输过程中的紧急护理，（2）入院复苏，（3）重症监护，以及（4）恢复正常。本文介绍了四个典型病例，以回顾这一严重问题中的病理生理概念。
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