Berry F A
University of Virginia Children's Medical Center, Department of Anesthesiology, University of Virginia, Charlottesville.
Crit Care Clin. 1990 Jan;6(1):147-63.
The object of this article is to provide the anesthesiologist with an approach to the perioperative management of pediatric trauma. The initial focus is on planning and initial stabilization and transport. This is followed by the immediate management of the trauma patient in the emergency department, with a focus on the management of the airway and support of the circulation. There are some differences of opinion about the similarity of cervical spine injury in children and adults, but there is no question that children do suffer cervical spine injuries frequently following head injury. The anesthetic management of the head-injured patient is focused upon the control of intracranial pressure, and the major method for control is hyperventilation to reduce the CO2. Head trauma patients often have injuries to other body systems, which may account for both their ventilatory and their circulatory problems.
本文的目的是为麻醉医生提供一种小儿创伤围手术期管理的方法。最初的重点是规划、初步稳定和转运。接下来是在急诊科对创伤患者的即时管理，重点是气道管理和循环支持。关于儿童和成人颈椎损伤的相似性存在一些不同意见，但毫无疑问，儿童在头部受伤后经常会发生颈椎损伤。头部受伤患者的麻醉管理重点是控制颅内压，主要的控制方法是过度通气以降低二氧化碳水平。头部创伤患者通常还伴有其他身体系统的损伤，这可能是导致他们通气和循环问题的原因。
