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近乎溺死(near-drowning)的儿童其神经系的病变和死亡与颅内压(ICP)增高未能控制和伴发的脑血流与代谢的严重紊乱直接相关。目前控制ICP和减低脑代谢的需求尚无理想方法。有人还认为有些措施仅适应于严重昏迷的儿童。作者采用过度通气和大量地塞米松为主,控制ICP和保证脑血流的脑复苏方案,并按Glasgow昏迷记分法(GCS)以及Orlowski系记录法判定接近溺死儿童的状态。Orlowski记录法为五项,每项1分:即(1)3岁以下,(2)落水时间超过5分钟,(3)出水后未作任何抢救至少已10分钟,(4)瞳孔散大、固
In near-drowning children, neuropathy and death are associated with an uncontrolled increase in intracranial pressure (ICP) and cerebral blood flow associated with severe metabolic disorders. There is currently no ideal way to control ICP and reduce brain metabolism. Some people also think that some measures only apply to children in serious coma. The authors used hyperventilation and extensive dexamethasone-based brain-resuscitation programs that controlled ICP and cerebral blood flow, and determined the status of children near drowning according to the Glasgow Coma Scale (GCS) and the Orlowski line. Orlowski record for five, each 1 points: (1) 3 years of age, (2) falling time of more than 5 minutes, (3) after the water without any rescue for at least 10 minutes, (4) dilated pupils, solid