Pearson Erik G, Fitzgerald Caitlin A, Santore Matthew T
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Section of Pediatric Surgery, Department of Surgery, Children׳s Healthcare of Atlanta, Emory University School of Medicine, Third Floor Surgical Offices, 1405 Clifton Rd, Atlanta, Georgia 30322.
Semin Pediatr Surg. 2017 Feb;26(1):36-42. doi: 10.1053/j.sempedsurg.2017.01.007. Epub 2017 Jan 11.
Pediatric thoracic trauma is relatively uncommon but results in disproportionately high levels of morbidity and mortality when compared with other traumatic injuries. These injuries are often more devastating due to differences in children׳s anatomy and physiology relative to adult patients. A high index of suspicion is of utmost importance at the time of presentation because many significant thoracic injuries will have no external signs of injury. With proper recognition and management of these injuries, there is an associated improved long-term outcome. This article reviews the current literature and discusses the initial evaluation, current management practices, and future directions in pediatric thoracic trauma.
小儿胸部创伤相对少见，但与其他创伤性损伤相比，其发病率和死亡率却高得不成比例。由于儿童相对于成年患者在解剖学和生理学上存在差异，这些损伤往往更具毁灭性。就诊时高度怀疑至关重要，因为许多严重的胸部损伤可能没有外部损伤迹象。通过对这些损伤的正确识别和处理，可改善长期预后。本文回顾了当前的文献，并讨论了小儿胸部创伤的初始评估、当前的处理方法以及未来的发展方向。
