Zhang Ting-Chong
Department of Basic Surgery, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2013 Jun;15(6):416-8.
Limb trauma is the most common among pediatric victims in earthquake. Compared with traumatic brain injury, which is frequent in earthquake, intracranial injury is rare, but it is the leading cause of death from trauma in earthquake. Thoracoabdominal crush injury, which often causes such crises as visceral hemorrhage, is also one of the main causes of death among pediatric victims in earthquake. Crush syndrome and osteofascial compartment syndrome are often complicated by acute renal failure. Because trauma is emergent in earthquake, the principle of "life-saving first, critical injury priority" should be complied with during on-site rescue. The injured children must be transferred to the medical center as soon as possible. It is essential to treat the critically injured children by multidisciplinary cooperation, and much attention should be paid to prevention of complications, rehabilitation care, and psychological counseling.
肢体创伤是地震中儿童受害者最常见的情况。与地震中常见的创伤性脑损伤相比,颅内损伤很少见,但却是地震中创伤致死的主要原因。胸腹部挤压伤常导致内脏出血等危急情况,也是地震中儿童受害者的主要死因之一。挤压综合征和骨筋膜室综合征常并发急性肾衰竭。由于地震中的创伤具有突发性,现场救援应遵循“先救命、后治伤”的原则。受伤儿童必须尽快转送至医疗中心。通过多学科合作治疗重伤儿童至关重要,同时应高度重视并发症的预防、康复护理和心理咨询。