Parish R A, Watson M, Rivara F P
Pediatr Emerg Care. 1986 Dec;2(4):218-21. doi: 10.1097/00006565-198612000-00003.
We conducted a retrospective study to determine the frequency with which arterial blood gases, chest x-rays, and blood clotting studies are obtained while caring for pediatric trauma victims in a regional trauma center, and if the clinician can predict which studies may be abnormal. Arterial blood gases were obtained in 35% of pediatric trauma victims, chest x-rays in 48%, and clotting studies in 56%. We found that abnormalities in arterial blood gases were correlated with closed head injury, intubation in the field, and sex of the patient, while abnormalities on chest x-ray correlated with closed head trauma and intubation in the field. Abnormalities in clotting studies correlated only with intubation in the field. Obtaining a chest x-ray on a pediatric trauma victim with an Injury Severity Score of less than 10 will yield little information. The utility of routine laboratory tests in pediatric trauma victims may vary significantly from that of laboratory tests in adult trauma victims.
我们进行了一项回顾性研究，以确定在一家地区创伤中心护理小儿创伤患者时，进行动脉血气分析、胸部X光检查和血液凝血检查的频率，以及临床医生是否能够预测哪些检查结果可能异常。35%的小儿创伤患者进行了动脉血气分析，48%进行了胸部X光检查，56%进行了凝血检查。我们发现，动脉血气异常与闭合性颅脑损伤、现场插管及患者性别相关，而胸部X光异常与闭合性颅脑创伤和现场插管相关。凝血检查异常仅与现场插管相关。对损伤严重程度评分低于10分的小儿创伤患者进行胸部X光检查，所获信息甚少。小儿创伤患者常规实验室检查的效用可能与成人创伤患者的实验室检查效用有显著差异。
