Herman Martin J, McCarthy James, Willis R Baxter, Pizzutillo Peter D
Drexel University College of Medicine, Philadelphia, PA, USA.
Instr Course Lect. 2011;60:373-95.
Pediatric patients who require orthopaedic surgical emergency care are often treated by orthopaedic surgeons who primarily treat adult patients. Essential information is needed to safely evaluate and treat the most common surgical emergencies in pediatric patients, including hip fractures; supracondylar humeral, femoral, and tibial conditions of the hip (such as slipped capital femoral epiphysis and septic arthritis); and limb- and life-threatening pathologies, including compartment syndrome, the dysvascular limb, cervical spine trauma, and the polytraumatized child. To provide optimal care to pediatric patients, it is important to be aware of the key points in patient evaluation and surgical care as well as expected complications.
需要接受骨科外科急诊治疗的儿科患者通常由主要治疗成年患者的骨科外科医生进行治疗。对于安全评估和治疗儿科患者最常见的外科急诊,包括髋部骨折;肱骨髁上、股骨和胫骨近端的病症(如股骨头骨骺滑脱和化脓性关节炎);以及危及肢体和生命的病变,包括骨筋膜室综合征、肢体缺血、颈椎创伤和多发伤儿童,都需要关键信息。为了给儿科患者提供最佳护理,了解患者评估和手术护理的关键点以及预期并发症非常重要。