Reynolds Stacy L
Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Carolinas Medical Center, 1000 Blythe Boulevard, 3rd Floor Medical Education Building, Charlotte, NC 28203, USA.
Emerg Med Clin North Am. 2018 May;36(2):473-483. doi: 10.1016/j.emc.2017.12.013. Epub 2018 Feb 10.
Thoracic injuries account for less than one-tenth of all pediatric trauma-related injuries but comprise 14% of pediatric trauma-related deaths. Thoracic trauma includes injuries to the lungs, heart, aorta and great vessels, esophagus, tracheobronchial tree, and structures of the chest wall. Children have unique anatomic features that change the patterns of observed injury compared with adults. This review article outlines the clinical presentation, diagnostic testing, and management principles required to successfully manage injured children with thoracic trauma.
胸部损伤在所有儿童创伤相关损伤中占比不到十分之一，但却占儿童创伤相关死亡的14%。胸部创伤包括肺部、心脏、主动脉和大血管、食管、气管支气管树以及胸壁结构的损伤。与成人相比，儿童具有独特的解剖学特征，这改变了所观察到的损伤模式。这篇综述文章概述了成功治疗胸部创伤儿童所需的临床表现、诊断测试和管理原则。
