Walker David M, Tolentino Victorio R
Chief, Pediatric Emergency Medicine, Department of Pediatrics, Joseph M. Sanzari Children's Hospital, Hackensack University Medical Center, Hackensack, NJ.
Consultant, Jackson Heights, NY.
Pediatr Emerg Med Pract. 2020 Jun 5;17(Suppl 6-1):1-27.
Although there is still much that is not understood, experience with previous coronavirus outbreaks and available data on COVID-19 indicate a reduced propensity to affect children. Nonetheless, serious complications—although rare—are being seen in pediatric patients. This review, written with the emergency medicine clinician in mind, describes the epidemiology, clinical features, and management implications for COVID-19 in pediatric patients. It includes a discussion of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, as well as other aspects of the COVID-19 pandemic that are affecting children and families, such as poisonings, childhood immunizations, mental health, nonaccidental trauma, and neglect.
尽管仍有许多未知之处,但既往冠状病毒爆发的经验以及关于新冠病毒病(COVID-19)的现有数据表明,儿童受影响的倾向较低。尽管如此,儿科患者中仍出现了严重并发症,尽管较为罕见。这篇综述是为急诊医学临床医生撰写的,描述了儿科患者中COVID-19的流行病学、临床特征及管理意义。它包括对与COVID-19相关的儿童多系统炎症综合征(MIS-C)的讨论,以及COVID-19大流行影响儿童和家庭的其他方面,如中毒、儿童免疫、心理健康、非意外创伤和忽视。