Green Katherine, Behjati Sam, Cheng Danny
Paediatric Haematology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Arch Dis Child Educ Pract Ed. 2019 Dec;104(6):298-303. doi: 10.1136/archdischild-2018-315269. Epub 2019 May 2.
To present a structured approach to the management of a child with a mediastinal mass presenting to the emergency department. To raise awareness of presenting features of less-obvious mediastinal masses and to encourage consideration of mediastinal masses in differential diagnoses.
Review of the relevant literature and review of London Paediatric Cancer Network supportive guidelines and subsequent description of the approach to a child presenting with features suggestive of a mediastinal mass.
A systematic approach to history taking, clinical examination and investigation of a child presenting with a mediastinal mass will assist in the safe and timely management of children presenting when they are critically unwell. Anticipation of potential management complications and early transfer for ongoing management will improve patient outcomes and minimise morbidity.
提出一种针对就诊于急诊科的纵隔肿物患儿的结构化管理方法。提高对不太明显的纵隔肿物表现特征的认识，并鼓励在鉴别诊断中考虑纵隔肿物。
回顾相关文献，查阅伦敦儿科癌症网络支持性指南，并随后描述对有纵隔肿物特征表现患儿的处理方法。
对纵隔肿物患儿进行病史采集、临床检查和调查的系统方法，将有助于对病情严重的患儿进行安全、及时的管理。对潜在管理并发症的预判以及为持续治疗尽早转诊，将改善患者预后并降低发病率。
