摘要
目的探讨溺水儿童最佳的院前、院内急救方法,提高复苏成功率。方法对近2年我院急诊与PICU救治的20例溺水儿童病例作回顾分析。结果20例患儿中15例在现场进行了人工呼吸及胸外心脏按压。平均到达医院时间0.5￣3小时。至我院急诊时,心肺停止、瞳孔散大者7例;意识障碍者8例;抽搐者1例;完全清醒4例。对心肺停止的7例患儿立即进行复苏。3例急诊室死亡;其余4例均恢复自主循环,其中2例心肺停止30分钟复苏成功,目前基本恢复正常。2例进入PICU后8￣24小时死于多脏器功能衰竭;非心肺停止组13例患儿中4例遗留轻度缺氧性脑病,其余均治愈出院。结论及时的现场心肺复苏、完善的转运机制、一体化的急救体系,是提高复苏成功率、降低伤残率的有效保障。溺水的预防应关注高危人群,加强安全教育。
Objective To discuss the best method of emergency treatment to increase resuscitation success rate for drown children before and in hospital. Methods Analysed the twenty cases of drown children resuscitation in ER and PICU of my hospital recent 2 years retrospectively. Results 15 drown children were need to practising artifical respiration and cardiac pressing on first-aid location in all 20 drowning cases.The average time is 0.5-3 h arrived hospital. When they were sent to the ER, 7 cases appeared cardiac arrest and pnpil spread, 8 cases appeared nnconsciousness, 1 case appeared ticced, 4 cases were entirely conscious.Urgently practising CPR on those seven children who appear cardiac arrest.3 cases were dead in ER,the rest 4 patients recover autonomic circulation,which the 2 cases in them succeed in resuscitation after cardiac arrest for 30 minutes and almost recover up to now.2 cases died for MODS after they were sent to PICU 8 to 24 hours later. And the other thirteen who were not,only 4 cases got sequelae of gentle hypoxic encephalopathy,were all cure. Conclusion Timely spot CPR,perfect transport mechanism and incorporate first-aid system are availability guarantee to which increase resuscitation success rate and decrease crippling rate.Prevention of drowning shouM pay more attention to hyperisky groups, reinforce safety-thought education.
出处
《基层医学论坛》
2006年第2期100-101,共2页
The Medical Forum
关键词
儿童
溺水
院前急救
院内急救
临床分析
Children Drowning First aid before hospital First aid in hospital
