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癫痫儿童的溺水风险:来自夏威夷的一项研究。

Drowning risks to epileptic children: a study from Hawaii.

作者信息

Pearn J, Bart R, Yamaoka R

出版信息

Br Med J. 1978 Nov 4;2(6147):1284-5. doi: 10.1136/bmj.2.6147.1284.

DOI:10.1136/bmj.2.6147.1284
PMID:709318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1608507/
Abstract

The role of epileptiform seizures in causing drowning and near-drowning among children was studied by examining the case reports of all 140 childhood immersion accidents that occurred in an area of Hawaii over five years. Four of the 140 immersion accidents were caused partly by epileptiform seizures, but none were fatal. The combined results of the Hawaiian and Brisbane studies (total population studied over five years 1 600 000) showed that no epileptic children died from accidents in the sea or in swimming pools; and the 2.9% incidence of immersion accidents due to seizures in the Hawaiian study compares well with the incidence found in other series. If an epileptic child is mentally normal, well controlled with anticonvulsants, and supervised in the water then the risk of drowning is very small.

摘要

通过对夏威夷某地区五年内发生的140起儿童溺水事故的病例报告进行研究,探讨癫痫样发作在儿童溺水及近乎溺水事件中所起的作用。140起溺水事故中有4起部分由癫痫样发作引起,但均无致命情况。夏威夷和布里斯班研究的综合结果(五年内研究的总人口为160万)表明,没有癫痫儿童死于海中或游泳池的事故;夏威夷研究中因癫痫发作导致的溺水事故发生率为2.9%,与其他系列研究中的发生率相当。如果癫痫儿童智力正常,抗惊厥药物控制良好,且在水中有人监护,那么溺水风险非常小。

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本文引用的文献

1
A survey of domestic burns and scalds in Wales during 1955; some observations on their prevention and the social responsibility of the medical profession.1955年威尔士国内烧伤和烫伤情况调查;关于预防措施及医学行业社会责任的一些观察
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Freshwater drowning and near-drowning accidents involving children: a five-year total population study.涉及儿童的淡水溺水和近乎溺水事故:一项为期五年的全人群研究。
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Epilepsy and drowning in childhood.儿童期癫痫与溺水
Br Med J. 1977 Aug 20;2(6085):515-6. doi: 10.1136/bmj.2.6085.515-a.
10
Bathtub immersion accidents involving children.
Med J Aust. 1977 Feb 12;1(7):211-3. doi: 10.5694/j.1326-5377.1977.tb130633.x.