Near-Drowning 환아의 예후 판정에 대한 초기 Glucose의 의의

Prognostic Significance of Initial Blood Glucose Level in Near-Drowning

To validate the prognostic significance of initial blood glucose level in near-drowning, we have researched the relationship between initial blood glucose level and complications of 21 patients under 15 years with near-drowning, who admitted to the Department of Pediatrics, Chungnam National University Hospital from Jan. 1985 to Dec. 1992. The results were as follows ; 1) In distribution of sex, male was 15 cases and female was 6 cases and male to female ratio was 2.5:1. 2) The most common age group of incidence was under 3 years(8 cases:38.0%) 3) The most common season of incidence was summer(16 cases:76.6%) 4) The mean blood glucose level of subjects was 198mg/dl. 5) The group of prolonged period of submersion was significantly higher initial blood glucose level than short period of submersion. 6) The initial blood glucose level of patients with complications(224.30mg/dl) was significantly higer than patients without complications(157.25mg/dl). The results suggest that initial blood glucose level is one of the important prognostic predictor of near-drowning patients.