淡水淹溺肺水肿43例临床分析  

Clinical analysis of 43 cases with pulmonary edema after fresh -water drowning

作　　者：徐伟华[1] 张剑杰[1] 孙勤[1] 

机构地区：[1]慈溪市人民医院重症监护室,浙江315300

出　　处：《中国急救医学》2009年第4期348-350,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的临床分析淡水淹溺肺水肿的临床表现、救治措施及预后。方法回顾近五年收治的43例淡水淹溺肺水肿患者临床资料，采取早期机械通气联合药物治疗。结果43例患者中29例（67．4％）痊愈出院，9例（21．0％）好转出院，2例（4．7％）未愈自动出院。3例（6．9％）死亡。结论淡水淹溺肺水肿病情危重，注重院前急救，采取早期机械通气联合山莨菪碱、甲泼尼龙等综合治疗方案，可以提高抢救成功率。Objective To study the manifestation, the treatment measures and prognosis of patients with pulmonary edema after fresh - water drowning. Methods To retrospectively study the data of 43 cases with fresh - water drowning who took early mechanical ventilation together with drug therapy. Result Among the 43 cases, 29 cases （67. 4% ） recovered and discharged from hospital, 9 cases （21.0%） discharged with the improvement, 2 cases （4.7%） left hospital without treatment and 3 cases （ 6.9% ） died. Conclusions If the patients suffered from fresh - water drowning, emphasis should be laid on pre -hospitalization treatment. Comprehensive therapeutic plan including mechanical ventilation, Anisodamine and Methylprednisolone should be taken at the early stage in order to increase the successful rescue rate of severe fresh - water drowning patients.

关 键 词：淡水 淹溺 肺水肿 机械通气 山莨菪碱 甲泼尼龙 

分 类 号：R649.3[医药卫生—外科学]