Department of Dermatology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Box 46, Brooklyn, NY 11203, USA.
Clin Dermatol. 2011 Nov-Dec;29(6):633-43. doi: 10.1016/j.clindermatol.2011.08.028.
Over the past several decades, improved technologies used in the care of hospitalized and outpatient pediatric populations have resulted in a decreased but still significant number of iatrogenic injuries. Children at the highest risk for cutaneous injury include those with the most immature skin barriers, such as neonates younger than 32 weeks of gestational age. Additional risk factors include low birth weight, increased length of hospital stay, and indwelling instrumentation. Also at risk are older children with compromised skin barriers owing to infectious disease (staphylococcal scalded skin syndrome), inflammatory disease (atopic dermatitis), drug eruptions, and inherited or acquired blistering disorders. This review highlights the presentation, course, and management of iatrogenic skin injury events in children.
在过去几十年中，住院和门诊儿科患者护理中使用的改进技术导致医源性损伤的数量虽然减少，但仍相当可观。最容易发生皮肤损伤的儿童包括皮肤屏障最不成熟的儿童，如胎龄小于 32 周的新生儿。其他危险因素包括低出生体重、住院时间延长和留置器械。因感染性疾病（葡萄球菌性烫伤样皮肤综合征）、炎症性疾病（特应性皮炎）、药物疹以及遗传性或获得性水疱性疾病而导致皮肤屏障受损的大龄儿童也存在风险。本综述重点介绍了儿童医源性皮肤损伤事件的表现、病程和处理。
