Meller J L, Little A G, Shermeta D W
Pediatrics. 1984 Nov;74(5):813-9.
A 20-year experience at The University of Chicago in dealing with chest injuries in pediatric patients has been reviewed. The clinical presentation, including results of diagnostic measures, and the initial and definitive management of thoracic trauma in children are discussed. The condition of the majority of patients was stable at time of presentation. The most frequent surgical intervention performed was intercostal tube placement. Thoracotomy was infrequently required and laparotomy for associated injuries was more common. Trends in the causes and epidemiology of thoracic trauma in an inner city environment over this 20-year period were noted: Blunt trauma, which is increasing in frequency, most commonly involves the younger age group and is usually related to automobile accidents. Penetrating injuries are generally seen in older patients within the pediatric age groups and are similar to those seen in the adult population.
回顾了芝加哥大学20年来处理小儿胸部损伤的经验。讨论了临床表现，包括诊断措施的结果，以及儿童胸部创伤的初始和确定性治疗。大多数患者就诊时病情稳定。最常进行的外科手术是放置肋间引流管。开胸手术很少需要，而因相关损伤进行剖腹手术更为常见。记录了这20年期间内城区环境中胸部创伤的病因和流行病学趋势：钝性创伤的发生率在增加，最常见于较年轻的年龄组，通常与汽车事故有关。穿透性损伤一般见于小儿年龄组中的年长患者，与成人人群中所见的损伤相似。
