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강진무,권태찬,이상락,엄정심 啓明大學校 醫科大學 1992 계명의대학술지 Vol.11 No.3
The clinical study was done on 19 cases of near-drowning which were admitted to the Department of Pediatrics, Dong-San Hospital, Keimyung University during the period from January, 1983 to June, 1990. The results were as follows: Out of 19 cases, 15 were male and 4 were female. The sites of the accident included river in 6 cases, ponds in 4 cases, bathtub in 3 cases, toilet in 3 cases and pool in 2 cases. Out of 19 cases, 14 were recovered without detectable neurologic sequelae, 3 had anoxic encephalopathy and 2 had delayed death. 5 cases who were dead or associated with anoxic encephalopathy had duration of immersion over 5 minutes and needed cardiopulmonary resuscitation at emergency room. The parent's estimation of the duration that the child was missing and/or immersed correlated with the child's neurologic prognosis. Severe metabolic acidosis and mild hypokalemia occured in patients who had anoxic encephalopathy and delayed death. The most common respiratory complications were aspiration pneumonia and pulmonary edema. The neurologic sequelae were hemiparesis & language disability.