Experience of drowning-induced hypothermia and review of the literature
10.3969/j.issn.1008-9691.2025.02.020
- VernacularTitle:急诊救治溺水失温症的体会并文献复习
- Author:
Xiaojun MAI
1
Author Information
1. 古浪县人民医院急诊科,甘肃 武威 733100
- Publication Type:Journal Article
- Keywords:
Emergency treatment;
Drowning-induced hypothermia;
Case report
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(2):227-229
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnosis and treatment process of a case of drowning-induced hypothermia,providing a reference for the treatment of patients with drowning-induced hypothermia.Methods A retrospective analysis was conducted on the diagnostic and treatment process for a drowning-induced hypothermia case treated at Gulang County People's Hospital on September 4,2021,to summarize effective diagnostic and treatment methods for patients with drowning-induced hypothermia.Results The patient,a 17-year-old male,drowned at 16:00 on September 4,2021,and was transferred to the department of emergency rescue room of our hospital at 17:45 by 120.Based on the patient's symptoms,physical signs,and laboratory test results,he was diagnosed with drowning and hypothermia.Immediate emergency treatment included the rapid removal of all wet clothing,continuous electrocardiogram monitoring,oxygen inhalation,placement of hot water bottles in the armpits and groin,covering with blankets,and blowing warm air,artificial rewarming,fluid replenishment,correction of acidosis,and maintenance of vital signs.Thirty minutes later,the electrocardiogram returned to normal,the patient's body temperature gradually increased,consciousness cleared,though his mental state was very poor and continuous shaking turned into intermittent shaking.After 120 minutes,body temperature normalized,consciousness was clear,and the patient exhibited intermittent emotional excitement and unclear speech.Twenty hours later,the patient's vital signs were stable,and speech was normal.A re-examination of routine blood tests,coagulation,and biochemical markers were normal,and the patient was discharged cured.Conclusion Rapid and active rescue interventions can save the lives of patients with drowning-induced hypothermia.
