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[紧急医疗服务中的儿科急症]

[Pediatric emergencies in the emergency medical service].

作者信息

Silbereisen C, Hoffmann F

机构信息

Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland,

出版信息

Anaesthesist. 2015 Jan;64(1):73-84. doi: 10.1007/s00101-014-2383-y.

DOI:10.1007/s00101-014-2383-y
PMID:25523319
Abstract

Out-of-hospital pediatric emergencies occur rarely but are feared among medical personnel. The particular characteristics of pediatric cases, especially the unaccustomed anatomy of the child as well as the necessity to adapt the drug doses to the little patient's body weight, produce high cognitive and emotional pressure. In an emergency standardized algorithms can facilitate a structured diagnostic and therapeutic approach. The aim of this article is to provide standardized procedures for the most common pediatric emergencies. In Germany, respiratory problems, seizures and analgesia due to trauma represent the most common emergency responses. This article provides a practical approach concerning the diagnostics and therapy of emergencies involving children.

摘要

院外儿科急症很少发生,但医护人员对此感到担忧。儿科病例的特殊特征,尤其是儿童不熟悉的解剖结构以及根据小患者体重调整药物剂量的必要性,会产生很高的认知和情绪压力。在紧急情况下,标准化算法有助于形成结构化的诊断和治疗方法。本文的目的是为最常见的儿科急症提供标准化程序。在德国,呼吸问题、癫痫发作和创伤引起的镇痛是最常见的应急情况。本文提供了一种针对涉及儿童急症的诊断和治疗的实用方法。

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[Pediatric emergencies in the emergency medical service].[紧急医疗服务中的儿科急症]
Anaesthesist. 2015 Jan;64(1):73-84. doi: 10.1007/s00101-014-2383-y.
2
[Review: common pediatric emergencies].[综述:常见儿科急症]
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Prehospital pain management in children with traumatic injuries.创伤性损伤儿童的院前疼痛管理。
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Pediatric trauma. Part II: Development of an emergency care system.小儿创伤。第二部分:急救系统的发展。
Physician Assist. 1986 Oct;10(10):29-30, 33-8.
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[Out-of-hospital pediatric emergencies. Perception and assessment by emergency physicians].[院外儿科急诊。急诊医师的认知与评估]
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Primary Care Office Preparedness for Pediatric Emergencies.基层医疗办公室对儿科急诊的准备工作。
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Keeping PEDIATRICS in pediatric disaster management: Before, during, and in the aftermath of complex emergencies.在儿科灾难管理中发挥儿科学的作用:在复杂紧急情况发生前、期间及之后。
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[Retrospective analysis of the resuscitation room management of nontraumatic critically ill children in a university emergency department (OBSERvE-DUS-PED study)].[大学急诊科非创伤性危重症儿童复苏室管理的回顾性分析(OBSERvE-DUS-PED研究)]
Anaesthesiologie. 2024 Oct;73(10):656-667. doi: 10.1007/s00101-024-01457-7. Epub 2024 Sep 2.
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Characteristics of Pediatric Emergency and Risk Factors for Life-saving Interventions.儿科急诊的特征及挽救生命干预措施的风险因素。
Glob Pediatr Health. 2021 Jan 24;8:2333794X21990340. doi: 10.1177/2333794X21990340. eCollection 2021.

本文引用的文献

1
European Resuscitation Council Guidelines for Resuscitation 2010 Section 6. Paediatric life support.《2010年欧洲复苏委员会复苏指南》第6节。儿童生命支持。
Resuscitation. 2010 Oct;81(10):1364-88. doi: 10.1016/j.resuscitation.2010.08.012.
2
Medical treatment of pediatric status epilepticus.小儿癫痫持续状态的治疗。
Semin Pediatr Neurol. 2010 Sep;17(3):169-75. doi: 10.1016/j.spen.2010.06.005.
3
Intranasal medication delivery for children: a brief review and update.鼻腔内给药剂型用于儿童:简要综述和更新。
Pediatrics. 2010 Sep;126(3):532-7. doi: 10.1542/peds.2010-0616. Epub 2010 Aug 9.
4
Prospective randomized controlled multi-centre trial of cuffed or uncuffed endotracheal tubes in small children.小儿带套囊与不带套囊气管内导管的前瞻性随机对照多中心试验。
Br J Anaesth. 2009 Dec;103(6):867-73. doi: 10.1093/bja/aep290. Epub 2009 Nov 3.
5
Characteristics of out-of-hospital paediatric emergencies attended by ambulance- and helicopter-based emergency physicians.由基于救护车和直升机的急诊医生处理的院外儿科紧急情况的特征。
Resuscitation. 2009 Aug;80(8):888-92. doi: 10.1016/j.resuscitation.2009.05.008. Epub 2009 Jun 10.
6
Status asthmaticus in children.儿童哮喘持续状态
Curr Opin Pediatr. 2007 Jun;19(3):281-7. doi: 10.1097/MOP.0b013e3280f77531.