Palmieri Tina L
Department of Burn Surgery, Shriners Children's Northern California, University of California Davis, Davis, California.
Semin Plast Surg. 2024 Apr 4;38(2):88-92. doi: 10.1055/s-0044-1782645. eCollection 2024 May.
Children have an imperative to explore their environment to grow and develop, which puts them at risk for sustaining burn injury. Burn injury remains the third leading cause of injury-related death worldwide. Plastic surgeons, as experts in the evaluation and management of cutaneous injuries, are frequently called upon to evaluate and treat children with burn injuries. This article focuses on the unique physiologic aspects of children and how they impact initial evaluation and management of burn injury. Children are not "little adults," and they have different airway, circulatory, and cutaneous systems. Understanding the signs of potential child abuse is important to avoid further child harm. Finally, recognition of the criteria for referral to a pediatric burn center is important to optimize both short- and long-term outcomes for patients and families.
儿童有探索周围环境以实现生长发育的需求，这使他们面临遭受烧伤的风险。烧伤仍是全球与伤害相关死亡的第三大主要原因。整形外科医生作为皮肤损伤评估和处理方面的专家，经常被要求对烧伤儿童进行评估和治疗。本文重点关注儿童独特的生理特点，以及这些特点如何影响烧伤的初始评估和处理。儿童并非“小大人”，他们有着不同的气道、循环和皮肤系统。了解潜在虐待儿童的迹象对于避免对儿童造成进一步伤害很重要。最后，认识到转诊至儿科烧伤中心的标准对于优化患者及其家庭的短期和长期预后很重要。
