Nagele P, Kroesen G
Universitätsklinik für Anästhesie und Allgemeine Intensivmedizin, Universität Wien.
Anaesthesist. 2000 Aug;49(8):725-31. doi: 10.1007/s001010070067.
We studied the epidemiology and outcome of prehospital pediatric emergencies treated by a physician-staffed mobile intensive care unit (MICU).
A 3-year retrospective analysis for the period 1991-1993.
Children under the age of 15 years comprised 5.1% of the patients treated by the MICU (372/7423), 87.4% of whom were not in a life-threatening condition. The most common emergencies were: trauma (30.4%), febrile seizure (27.7%), and subglottal laryngitis (12.6%). In 44.6% of cases there was no medical indication for the MICU. Intubation at the scene was required by 17 patients (4.6%), and 11 (3.0%) underwent cardiopulmonary resuscitation following prehospital cardiac arrest; two children were successfully resuscitated but died in hospital. A total of 217 (61.3%) were admitted to the ward, 9 of these to a critical care unit. The average length of stay was 4.9 days, and 94.5% of patients were discharged in good health.
Prehospital pediatric emergencies are rare and seldom life-threatening. Continuing education in pediatric emergency care is important for emergency physicians.
我们研究了由配备医生的移动重症监护单元（MICU）治疗的院前儿科急症的流行病学及转归情况。
对1991年至1993年期间进行了为期3年的回顾性分析。
15岁以下儿童占MICU治疗患者的5.1%（372/7423），其中87.4%并非处于危及生命的状况。最常见的急症为：创伤（30.4%）、热性惊厥（27.7%）和声门下喉炎（12.6%）。44.6%的病例并无MICU介入的医学指征。17例患者（4.6%）在现场需要插管，11例（3.0%）在院前心脏骤停后接受了心肺复苏；2名儿童成功复苏但在医院死亡。共有217例（61.3%）被收入病房，其中9例入住重症监护病房。平均住院时间为4.9天，94.5%的患者健康出院。
院前儿科急症较为罕见，很少危及生命。儿科急诊护理方面的继续教育对急诊医生很重要。
