Ruddy R M, Fleisher G R
Pediatr Emerg Care. 1985 Sep;1(3):151-9. doi: 10.1097/00006565-198509000-00011.
The approach to the injured child requires great care and clinical acumen to establish the diagnosis and institute appropriate treatment. Loss of life from occult internal hemorrhage or neurologic sequelae from a missed unstable cervical spine injury may be devastating. Yet, physicians in the ED must also know which children need only a careful physical examination, and when laboratory testing or admission is unnecessary. We have described a schema for providing appropriate care to children with trauma in such a way that specific issues about management can be reasonably approached by the emergency physician.
对于受伤儿童的处理需要高度的谨慎和临床敏锐度，以确立诊断并实施恰当的治疗。隐匿性内出血导致的死亡或漏诊的不稳定颈椎损伤引起的神经后遗症可能是灾难性的。然而，急诊科医生还必须知道哪些儿童仅需仔细的体格检查，以及何时无需进行实验室检查或住院治疗。我们已经描述了一种为创伤儿童提供恰当护理的方案，以便急诊医生能够合理地处理有关管理的具体问题。
