DeNicola L K, Falk J L, Swanson M E, Gayle M O, Kissoon N
Department of Pediatrics, University of Florida, Health Science Center, Jacksonville, USA.
Crit Care Clin. 1997 Jul;13(3):477-502. doi: 10.1016/s0749-0704(05)70325-0.
Drowning and near drowning remain a common cause of childhood death and disability. Toddlers aged one through four drown in private swimming pools. Submersions greater than 10 minutes and lack of CPR at the scene or the need for greater than 20 minutes of resuscitation portends a poor prognosis. Management of respiratory failure without neurologic impairment has the most successful outcome. Prevention of drowning morbidity is dependent on constant parental supervision, and immediate and expert CPR.
溺水和近乎溺水仍然是儿童死亡和残疾的常见原因。1至4岁的幼儿会在私人游泳池溺水。溺水时间超过10分钟、现场未进行心肺复苏术或需要超过20分钟的复苏预示着预后不良。对无神经功能损害的呼吸衰竭进行治疗,预后最为理想。预防溺水的发病取决于家长的持续监督以及立即进行专业的心肺复苏术。