淹溺的预后指标分析  

Predictors of Outcome in Drowning

作　　者：刘海峰[1] 卢中秋[1] 彭武建[1] 邱俏檬[1] 

机构地区：[1]浙江省温州医学院附属第一医院急诊科,325000

出　　处：《医学研究杂志》2008年第5期96-97,共2页Journal of Medical Research

摘　　要：目的评价淹溺患者的预后,并寻找评价预后的可能指标。方法我们回顾性研究了1998～2007年41例淹溺患者。评价入院前后各种指标对患者预后的影响。结果41例患者平均年龄为41.7±13.3(14～67)岁,男:女为2.2:1。13(31.7%)例患者死亡。淹溺时间>5min以及入院时Glasgow昏迷评分(GCS)≤4、动脉血pH≤7.0都预示着预后不良,有统计学意义(P<0.05)。结论淹溺患者的预后差,本研究提示淹溺持续时间、入院时GCS、动脉血pH等指标可以用来评价淹溺患者的预后。Objective The purpose of the study was to evaluate the outcome of drowning, and assess possible predictors of the outcome. Methods We retrospectively reviewed hospital records of 41 drowning patients admitted at emergency department during 1998 - 2007. Multiple variables during the prehospital and the emergency stages were evaluated to assess their effect on the outcome. Results The average age of patients was 41.7 ± 13.3 years （ranged from 14 years to 67 years）. Male： female ratio was 2.2： 1. 13 patients （31. 7% ） died in hospital. Submersion time of 〉 5 minutes and the emergency room documentation of Glasgow Coma Scale of ε 4, arterial pH of ≤ 7.0 all predicted bad outcome, with a statistical significance （ P 〈 0.05 ）. Conclusion There was poor outcome in drowning. This study demonstrated that submersion time, GCS, arterial pH could assess predictors of the outcome.

关 键 词：淹溺 心肺复苏 GLASGOW昏迷评分 血糖 

分 类 号：R737.9[医药卫生—肿瘤] R649.3[医药卫生—临床医学]