Heymann Eric, Marsdin Emma Lucy
Paediatric Department, Guy's, King's and St Thomas's Medical School, London, UK.
BMJ Case Rep. 2012 Apr 17;2012:bcr0920114780. doi: 10.1136/bcr.09.2011.4780.
Children represent 30% of all burn cases seen by accident and emergency physicians in the UK every year, with toddlers being most at risk within this age group. With the emergence of walking autonomy, the need for constant supervision is sometimes not enough to prevent this type of injury from happening. However, in remembering the importance of children's health and safety, non-accidental injury is always to remain a differential diagnosis. The authors review a paediatric burns case underlying the importance of keeping an open mind to allow a proper clinical diagnosis to be formed.
在英国，儿童占每年急诊医生接诊的所有烧伤病例的30%，其中学步儿童在这个年龄组中风险最高。随着行走自主性的出现，仅仅持续监督有时不足以防止这类伤害的发生。然而，铭记儿童健康与安全的重要性，非意外伤害始终是需要鉴别的诊断。作者回顾了一个儿科烧伤病例，强调了保持开放思维以形成正确临床诊断的重要性。
