Barnacle Alex M
Department of Radiology, Great Ormond Street Hospital for Children, London WC1N 3JH, United Kingdom.
Early Hum Dev. 2014 Nov;90(11):787-90. doi: 10.1016/j.earlhumdev.2014.08.017. Epub 2014 Sep 26.
Interventional radiology (IR) is an emerging sub-speciality within paediatric medicine. In adult care, IR is largely centred on the management of vascular disease but in paediatric practice, IR applications are varied and increasingly innovative, making this an exciting field to be a part of. IR has a central role both in the day to day care of sick children, from long term IV access provision to feeding tube insertions, and in the acute management of critically ill infants, such as those with overwhelming liver disease, neonatal tumours and vascular malformations. Paediatric IR faces a unique set of challenges, developing or modifying techniques and equipment for use in very small patients, training professionals to take the speciality forward and, most importantly, convincing paediatricians and healthcare institutions to create opportunities for IR to make a difference.
介入放射学(IR)是儿科学中一个新兴的亚专业。在成人护理中,IR主要集中于血管疾病的管理,但在儿科实践中,IR的应用多种多样且日益创新,使其成为一个令人兴奋的领域。IR在患病儿童的日常护理中发挥着核心作用,从长期静脉通路的建立到喂食管的插入,以及在危重症婴儿的急性管理中,如患有严重肝病、新生儿肿瘤和血管畸形的婴儿。儿科IR面临着一系列独特的挑战,包括开发或改进适用于非常小的患者的技术和设备、培训专业人员以推动该专业发展,以及最重要的是,说服儿科医生和医疗机构为IR创造发挥作用的机会。