| 摘要: |
| 淹溺是致残、致死率极高的意外伤害因素，其病程进展十分迅速，患者病情往往较危重，且因其病理生理机制复杂，目前临床治疗方法十分有限。冷水浸没综合征作为淹溺的特殊类型之一，通常当患者浸没于冷水中后立即发生并贯穿患者溺水的始终。冷水浸没综合征常导致患者心搏骤停等危急情况，在淹溺的发生、发展过程中扮演重要的角色。本文着重对冷水浸没综合征的病理生理机制进行综述，并总结其临床诊疗手段，以期为进一步临床针对性治疗提供理论依据。 |
| 关键词: 溺水 冷水浸没综合征 复温 正压呼吸 体外膜氧合作用 |
| DOI：10.16781/j.0258-879x.2020.12.1369 |
| 投稿时间：2020-03-19修订日期：2020-08-31 |
| 基金项目: |
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| Cold water immersion syndrome: research progress |
| WANG Kai-cheng,WANG Jian-nan,XIA Yang,BAI Chong* |
(Department of Respiratory and Critical Care Medicine, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Drowning is an accidental injury factor with high disability and death rates. The disease progresses rapidly, and the victims are often in a critical condition. Moreover, due to the complex pathophysiological mechanism, the current treatment is very limited. As a special type of drowning, cold water immersion syndrome usually occurs immediately after the patient is immersed in cold water and runs through the whole process of drowning. It often leads to cardiac arrest and other critical situations, playing an important role in the occurrence and development of drowning. This article focuses on the pathophysiological mechanism of cold water immersion syndrome and summarizes its clinical diagnosis and treatment, so as to provide a theoretical basis for further clinical treatment. |
| Key words: drowning cold water immersion syndrome rewarming positive-pressure respiration extracorporeal membrane oxygenation |
