Templeton J M, O'Neill J A
Emerg Med Clin North Am. 1984 Nov;2(4):899-912.
Although the pathophysiology of trauma is the same in all ages, the injured child presents special problems in regard to vascular access, airway control, and the greater vulnerability of certain organs to injury. Special guidelines are given regarding the technical aspects of circulatory support and airway management. Selective early use of MAST is stressed. Evaluation of each organ system is designed to facilitate progressive decision making, particularly in regard to when an injured child should be taken to the operating room and when he should be treated conservatively.
尽管创伤的病理生理学在所有年龄段都是相同的,但受伤儿童在血管通路、气道控制以及某些器官更容易受伤方面存在特殊问题。针对循环支持和气道管理的技术方面给出了特殊指南。强调了选择性早期使用MAST(军事抗休克裤)。对每个器官系统的评估旨在促进逐步决策,特别是关于受伤儿童何时应被送往手术室以及何时应采取保守治疗。