Anari Jason B, Hosseinzadeh Pooya, Herman Martin J, Eberson Craig P, Baldwin Keith D
Instr Course Lect. 2019;68:337-346.
Severe pediatric trauma can be complicated for clinicians to manage because it is unusual and behaves somewhat differently from severe trauma in adults. Damage control orthopaedics is a philosophy that has gained traction in the past 30 years and has become standard in unstable adult trauma patients. Studies have failed to demonstrate clear utility for this approach in pediatric patients. Clinicians should understand the concepts of early total care and damage control orthopaedics for the patient with polytrauma, the physiologic factors associated with trauma in both children and adults who sustain severe trauma, and the role of early total care versus damage control orthopaedics in the treatment of the pediatric patient with polytrauma.
严重的儿科创伤对临床医生来说很难处理，因为这种情况并不常见，而且其表现与成人严重创伤有所不同。损伤控制骨科是一种在过去30年中逐渐受到关注的理念，已成为不稳定成人创伤患者的标准治疗方法。但研究未能证明这种方法在儿科患者中有明显的效用。临床医生应该了解多发伤患儿的早期全面治疗和损伤控制骨科的概念、严重创伤的儿童和成人创伤相关的生理因素，以及早期全面治疗与损伤控制骨科在儿科多发伤患者治疗中的作用。
