AS Leonard Endowed Professor of Surgery and Pediatrics; Chief, Division of Pediatric Surgery, University of Minnesota Medical School, Minneapolis, MN.
Department of Surgery, University of Minnesota, Minneapolis, MN.
Pediatr Emerg Med Pract. 2021 Feb 15;18(Suppl 2):1-39.
The common mechanisms and injury patterns of accidental trauma in infants differ from those of older children and adults, with falls representing the most common etiology. While the evaluation of traumatic injury in infants should follow an algorithm similar to that used for adults, the unique pediatric physiologic response to trauma must be taken into consideration. In addition, the utility of certain imaging studies in these patients is highly case specific, particularly with minor head injuries. This supplement reviews the evaluation and management of infants with accidental traumatic injury, including the most common circumstances and pathophysiology of injury, the differential diagnosis of the infant trauma victim, and the workup and management of accidental injuries in this patient population.
婴儿意外创伤的常见机制和损伤模式与年长儿童和成人不同，跌倒是最常见的病因。虽然婴儿创伤评估应遵循类似于成人的算法，但必须考虑到儿童对创伤的独特生理反应。此外，在这些患者中，某些影像学研究的应用具有高度的病例特异性，尤其是对于轻微的头部损伤。本附录回顾了意外创伤婴儿的评估和管理，包括损伤的最常见情况和病理生理学、婴儿创伤受害者的鉴别诊断以及该患者人群中意外损伤的检查和处理。
