Lin Chu-Chuan, Hsieh Kai-Sheng
Department of Pediatrics, Veterans General Hospital, Kaohsiung, Taiwan.
Pediatr Neonatol. 2009 Oct;50(5):184-9. doi: 10.1016/S1875-9572(09)60061-9.
Pediatric intensive care is now a subspecialty of pediatric medicine. Different pathologic and physiologic processes occur in pediatric patients who require intensive care. Thus, the faculty and staffing requirement differ in many aspects from those of adult intensive care units (ICUs). In Taiwan, pediatric intensive care is relatively less developed than adult care. However, thanks to the implementation of national health insurance and increasing emphasis of children's health, the scope and quality of pediatric intensive care has widened and rapidly improved. Research has shown that full time in-ICU staffing and patient care will result in improved outcomes for critically ill pediatric patients. In this article, we review the literature and recent advances in pediatric intensive care; we also outline the challenges arising. Special emphasis was made to the clinical context of Taiwan.
儿科重症监护如今是儿科学的一个亚专业。需要重症监护的儿科患者会出现不同的病理和生理过程。因此，在许多方面，儿科重症监护的医护人员配备要求与成人重症监护病房（ICU）不同。在台湾，儿科重症监护的发展相对不如成人护理。然而，由于全民健康保险的实施以及对儿童健康的日益重视，儿科重症监护的范围和质量得到了扩大和迅速改善。研究表明，重症监护病房的全职人员配备和患者护理将改善危重症儿科患者的治疗结果。在本文中，我们回顾了儿科重症监护的文献和最新进展；我们还概述了出现的挑战。特别强调了台湾的临床情况。
