Genoni L, Domenighetti G
Schweiz Med Wochenschr. 1982 Jun 12;112(24):867-70.
Cardiopulmonary resuscitation was successful in a healthy 29-year-old woman who had been submerged for 20 minutes in water at 10 degrees C. The evolution was characterized by the development of a multifactorial ARDS (secondary drowning) and sepsis caused by Aeromonas hydrophila and Acinetobacter anitratum. Fibrosing alveolitis caused a restrictive syndrome with severe mechanical impairment and transitory therapy-resistant hypoxemia. It is suggested that prolonged submersion in cold water is also a treatable and completely reversible condition in adults. In our patient without neurological sequelae the pulmonary function studies after 3 months show complete recovery from the mechanical impairment. After a follow-up period of 11 months only mild abnormalities of gas exchange persist.
一名29岁健康女性被淹于10摄氏度水中20分钟，心肺复苏成功。病情演变的特征为多因素所致的急性呼吸窘迫综合征（继发性溺水）以及嗜水气单胞菌和反硝化不动杆菌引起的败血症。肺纤维化性肺泡炎导致限制性综合征，伴有严重机械通气障碍和短暂的对治疗耐药的低氧血症。提示成人长时间淹于冷水中也是一种可治疗且完全可逆的状况。我们的患者无神经后遗症，3个月后的肺功能研究显示机械通气障碍已完全恢复。随访11个月后，仅存在轻度气体交换异常。
