Downes J J
Department of Anesthesiology, Children's Hospital of Philadelphia, Pennsylvania.
Crit Care Clin. 1992 Jan;8(1):1-22.
This article describes the multiple historic origins of pediatric critical care medicine and the evolution of the subspecialty, from the late 1950s with the first units dedicated to the care of critically ill and injured infants and children, to the present status as a recognized medical subspecialty. Also discussed are current major issues and future challenges that flow from both this historic background and a commitment to critically ill children. Presented are specific considerations for physicians in this subspecialty to address as they plan for the future.
本文描述了儿科重症医学的多重历史起源以及该亚专业的发展历程，从20世纪50年代末首个专门照料重症及受伤婴幼儿的科室，到如今成为一个公认的医学亚专业。文中还讨论了源于这一历史背景以及对重症患儿的责任所引发的当前主要问题和未来挑战。文中还给出了该亚专业医生在规划未来时需要考虑的具体事项。
