Mazurek A
J Post Anesth Nurs. 1991 Oct;6(5):331-5.
Trauma in children claims more lives than any other childhood disease; (8,000 deaths were reported in the United States in 1989). The peculiar anatomy and physiology of the young body is responsible for the different pattern and distribution of injuries in children than in adults. For instance, 75% of multiply injured children suffer from head trauma. This implores early, aggressive airway management to prevent secondary hypoxic brain injury, which becomes a primary focus in treatment of the multiply injured child. Recent research indicates that care delivered by specially trained teams results in decreased morbidity associated with prehospital care and transport of these patients. Inpatient care of injured children ranges from highly sophisticated resuscitation and life support to postoperative pain control and tactful communication with distressed families. Physicians and nurses involved in trauma care must direct their efforts to further the education of medical personnel and the lay public regarding management of accident victims.
儿童创伤导致的死亡人数超过任何其他儿童疾病；（1989年美国报告有8000人死亡）。儿童身体独特的解剖学和生理学特征导致其受伤模式和分布与成人不同。例如，75%的多发伤儿童患有头部创伤。这就要求尽早进行积极的气道管理，以预防继发性缺氧性脑损伤，这成为多发伤儿童治疗的首要重点。最近的研究表明，由经过专门培训的团队提供护理可降低这些患者在院前护理和转运过程中的发病率。受伤儿童的住院护理范围从高度复杂的复苏和生命支持到术后疼痛控制以及与痛苦的家庭进行得体的沟通。参与创伤护理的医生和护士必须致力于进一步开展针对医务人员和普通公众的事故受害者管理教育。
