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我们成功抢救1例溺水达10分钟以上的病例,现介绍如下: 钟某,男,14岁,学生。原有癫痫病史(隐瞒病史)。1986年9月29日下午,在跳入深水游泳池后10分钟仍未露出水面。经救起后,患者神志丧失,面色青紫,瞳孔散大,球结膜充血,口、鼻不断有粉红色泡沫液体溢出,肢体冰冷,呼吸、心跳停止。急救经过:迅速除去口鼻污物。即行倒水:把溺水者翻转于俯卧位,抱起腰腹部使头部下垂,先后两次,共倒水约30毫升。同时进行人工呼吸及胸外按压。皮下注射肾上腺素、阿托品各1支。急救进行到8分钟病情无好转,口中不断有分泌液流出。行第3次倒水:救护者一腿跪地,另一腿屈膝而立,将溺水者匍匐在救护者膝上,头部下垂;另一救护者自背部向肩推拿,向下压数次,约100毫升的水从口鼻流出。随
We successfully rescued 1 case of drowning for more than 10 minutes, are described below: Zhongmou, male, 14 years old, student. The original history of epilepsy (hiding history). On the afternoon of September 29, 1986, there was still no water surface 10 minutes after diving into the deep water pool. After rescued, patients lost consciousness, looking bruising, mydriasis, bulbar conjunctival hyperemia, mouth, nose constantly pink liquid overflow, limbs cold, breathing, heartbeat to stop. First aid after: quickly remove the nose and mouth dirt. Namely pouring water: The drowning person in the prone position, hold the waist and abdomen to the head drooping, twice in succession, a total of about 30 ml pouring water. At the same time artificial respiration and chest compressions. Subcutaneous injection of epinephrine, atropine each one. First aid to 8 minutes of illness did not improve, the mouth continued to have effusion. The third line of water pouring: the ambulance knees on one leg, the other leg knees, the drowning prostrate on the knee, head drooping; the other ambulance from the back to shoulder massage, press down several times, About 100 ml of water flows out of the mouth and nose. With