Kemp A M, Sibert J R
Department of Child Health, University of Wales College of Medicine, Cardiff.
Arch Dis Child. 1993 May;68(5):684-5. doi: 10.1136/adc.68.5.684.
To clarify the risks of drowning for children with epilepsy we have studied the records of the 306 children who drowned or nearly drowned in the UK in 1988 and 1989. Ten children with incidents related to epilepsy presented over the study period, four of whom drowned. Children with epilepsy had a higher incidence of submersion accidents but no child participating in supervised swimming drowned. Two children died in the bath. Five children had special needs. We conclude that children with epilepsy can enjoy swimming with a friend in a lifeguard supervised swimming pool. They should be encouraged to shower in a non-glass cubicle rather than have a bath. The bathroom should remain unlocked. Children with poorly controlled epilepsy or associated learning difficulties are at a higher risk from all accident trauma. They need a very high level of supervision while swimming and advice should be given on an individual basis according to what is considered realistic for that child.
为了明确癫痫患儿溺水的风险，我们研究了1988年和1989年在英国溺水或险些溺水的306名儿童的记录。在研究期间有10名与癫痫相关事件的儿童，其中4名溺水。癫痫患儿发生浸没事故的发生率较高，但没有参与有监督的游泳的儿童溺水。两名儿童在浴室死亡。5名儿童有特殊需求。我们得出结论，癫痫患儿可以在有救生员监督的游泳池里和朋友一起游泳。应鼓励他们在非玻璃隔间淋浴而不是泡澡。浴室应保持不锁门。癫痫控制不佳或伴有学习困难的儿童发生所有意外创伤的风险更高。他们游泳时需要非常高水平的监督，并且应根据对该儿童实际情况的考虑给予个性化建议。
