Department of Perioperative and Intensive Care and Emergency Medicine, Wilhelmina Children's Hospital at University Medical Centre, Utrecht, The Netherlands.
Eur J Anaesthesiol. 2011 Jul;28(7):471-7. doi: 10.1097/EJA.0b013e3283476c8c.
The present article is intended as an update for anaesthesiologists on recent developments in life-threatening paediatric emergencies and paediatric resuscitation. It is assumed that the reader has at least a basic knowledge of the general principles of emergency medicine, such as the ABCDE-approach and the principle of 'treat first what kills first'; and also that the reader is familiar with the anatomical, physiological and psychological differences between adults and children. The article begins with a description of the background to paediatric emergencies followed by a description of a widely used systematic approach to the assessment of the seriously ill child. In the second half of the article, the principles of the initial treatment for acute, life-threatening problems in children and paediatric resuscitation are discussed with reference to the recent literature. The article ends with a discussion of the changes in latest guidelines for resuscitation of babies at birth.
本文旨在为麻醉师提供有关危及生命的儿科急症和儿科复苏的最新进展的更新。假设读者至少对急诊医学的一般原则有基本的了解，例如 ABCDE 方法和“先治先死”的原则；并且读者也熟悉成人和儿童之间的解剖学、生理学和心理学差异。文章首先描述了儿科急症的背景，然后描述了一种广泛使用的评估严重患病儿童的系统方法。在文章的后半部分，根据最新文献讨论了治疗儿童急性、危及生命问题的初步治疗原则和儿科复苏。文章最后讨论了最新的新生儿复苏指南的变化。
