Beaver B L, Laschinger J C
Department of Surgery, University of Maryland School of Medicine, Baltimore.
Semin Thorac Cardiovasc Surg. 1992 Jul;4(3):255-62.
The majority of chest injuries in children may be effectively diagnosed and treated in the emergency room area, if an organized plan is followed and a high index of suspicion for specific injuries is maintained. Unique features of pediatric anatomy and physiology require innovative adaptation to provide maximal effective resuscitation. Children in this sense are not merely "little adults." Of those few blunt and penetrating injuries that require operative management, operative techniques do not differ from those employed in adult trauma patients.
如果遵循有条理的计划并对特定损伤保持高度怀疑指数,大多数儿童胸部损伤可在急诊室区域得到有效诊断和治疗。儿科解剖学和生理学的独特特征需要创新调整以提供最大程度的有效复苏。从这个意义上说,儿童不仅仅是“小大人”。在那些需要手术治疗的少数钝性和穿透性损伤中,手术技术与成人创伤患者所采用的技术并无不同。