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題 名 | 溺水臨床徵狀及中樞神經後遺症之臨床觀察 |
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作 者 | 趙文崇; 陳錫鎰; 曹龍彥; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 26:3 民74.05-06 |
頁 次 | 頁235-238 |
分類號 | 415.222 |
關鍵詞 | 中樞神經; 後遺症; 溺水; 徵狀; 臨床; 觀察; |
語 文 | 中文(Chinese) |
中文摘要 | 本文係根據民國68年7月至73年2月間在本院小兒科病房因溺水住院的病童具臨床及腦神經症狀做分析及檢討。14名患童男女比為10:4。平均年齡為2歲5個月。死亡率為21.4%。在現場未做急救工作,溺水時間超過10分鐘,送到急診室時瞳孔已放大而對光無反應,意識昏迷,心跳停止,pH值低於7.1者預後極差。有3名患童雖經急救而未死亡,卻留下慢性中樞神經後遺症。2名遺留癲癎症而一名有注意力不集中與過動徵侯羣的現象。急性期腦波檢查均有不正常的現象,主要為徐波,棘波及銳波。此種不正常的腦波圖在1星期至3個月中消失。有2名持續存在並轉變成癲癎症。腦波可做預後判斷的一項指標。 |
英文摘要 | The modern management of near-drowning children with adequate mechanical ventilation and cardiac resuscitation has greatly improved the mortality rate. However, the crucial management decision for these children rests on whether or not they present long term central nervous system sequelae after rescue and resuscitation. Fourteen cases admitted to the pediatric ward after submersion, were reviewed from July, 1979 till Febuary 1984. Ten (71%) of the patients were boys; four (29%) were girls. The mortality rate in this study were 21.4%. Most of the accidents occurred in the summel time. The findings of fixed and dilate. Pupils, coma, initial blood pH less than 7.1, no spontaneous respiration and heart beat upon arrival at the emergency room indicated a significantly poor prognosis. The complications during the first 48 hours can be divided into two categories: One pneumonia(50%); the other is neurological dysfunction manifested as disturbance of consciousness and by seizures. The EEG recording after immediate management and during subsequent follow-up can be used as a reliable test to determine whether or not long-term central nervous system sequelae present. Because of the high morbidity of near-drowning children with central nervous systems affected after a near-drowning, a new approach of cerebral resuscitation, in addition to the basic cardiopulmonary resuscitation, should be established during the immediate management stage. |
本系統中英文摘要資訊取自各篇刊載內容。