Siebke H, Rod T, Breivik H, Link B
Lancet. 1975 Jun 7;1(7919):1275-7. doi: 10.1016/s0140-6736(75)92554-4.
Cardiopulmonary resuscitation and rewarming were successful in a 5-year-old boy who had been submerged for 40 minutes in ice-cold fresh water. Severe metabolic acidosis was corrected by intravenous infusion of sodium bicarbonate solution before spontaneous circulation could be re-established. Fulminant pulmonary oedema developed after re-establishment of spontaneous circulation. This was efficiently reversed by positive-end-expiratory-pressure ventilation. During 2 days of treatment of a respiratory the patient gradually regained consciousness; the endotracheal tube was then removed and the patient immediately started talking intelligently. The patient went through a period of slow cerebration and motor dysfunction but recovered rapidly, and on examination 13 months after the accident all findings were normal.
一名5岁男孩在冰冷的淡水中浸泡了40分钟，心肺复苏和复温成功。在恢复自主循环之前，通过静脉输注碳酸氢钠溶液纠正了严重的代谢性酸中毒。自主循环恢复后出现暴发性肺水肿，通过呼气末正压通气有效逆转。在呼吸治疗的2天里，患者逐渐恢复意识；随后拔除气管插管，患者立即开始清晰交谈。患者经历了一段思维迟缓及运动功能障碍期，但恢复迅速，事故发生13个月后检查所有结果均正常。
