小儿手部损伤：基层医疗机构医师实用处理方法。
Pediatric hand injuries: Practical approach for primary care physicians.
机构信息
Medical student at the University of Ottawa in Ontario.
Pediatric plastic surgeon at the Children's Hospital of Eastern Ontario in Ottawa.
出版信息
Can Fam Physician. 2018 Nov;64(11):803-810.
OBJECTIVE
To present a practical and evidence-based approach for primary care physicians to the diagnosis and initial management of common pediatric hand injuries, and to identify injuries requiring prompt referral.
SOURCES OF INFORMATION
Clinical evidence and expert recommendations were identified by using MEDLINE and EMBASE for each topic presented.
MAIN MESSAGE
Pediatric hand injuries are a common reason for physician consultation. The most common and potentially problematic pediatric hand injuries include fingertip injuries, phalangeal fractures, tendon injuries, and hand burns. Management is limited by difficulties in proper assessment of the hand and the paucity of evidence to guide treatment. Nevertheless, outcomes in children are typically excellent.
CONCLUSION
Appropriate assessment, initial management, and, if necessary, timely referral of pediatric patients with hand injuries are paramount given the importance of the hand in function and child development. While some principles from managing adult hand injuries might apply, children often require special considerations.
目的
为初级保健医生提供一种实用且基于证据的方法，用于诊断和初步处理常见的儿科手部损伤，并确定需要及时转诊的损伤。
信息来源
针对每个呈现的主题，使用 MEDLINE 和 EMBASE 确定临床证据和专家建议。
主要信息
儿科手部损伤是医生就诊的常见原因。最常见和潜在问题的儿科手部损伤包括指尖损伤、指骨骨折、肌腱损伤和手部烧伤。由于手部在功能和儿童发育中的重要性，对手部的正确评估以及治疗的证据不足，管理受到限制。然而，儿童的结果通常非常好。
结论
鉴于手部在功能和儿童发育中的重要性，适当评估、初步处理以及必要时及时转诊手部受伤的儿科患者至关重要。虽然一些处理成人手部损伤的原则可能适用，但儿童通常需要特殊考虑。
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