Anas N, Namasonthi V, Ginsburg C M
JAMA. 1981 Aug 21;246(8):840-3.
The clinical records of 950 children who ingested products containing hydrocarbons were reviewed. Eight hundred children were asymptomatic at the time of the initial evaluation and remained so during a six-to eight-hour period of observation. All had normal chest films, and all were treated as outpatients. One hundred fifty other children were admitted to the hospital; 79 were symptomatic at the time of initial medical evaluation and had abnormal chest roentgenograms. Seventy-one other children were asymptomatic but had roentgenographic evidence of pulmonary involvement (36) or had had pulmonary symptoms before arriving at the medical facility (35). Complications (seven) occurred only in symptomatic children who had roentgenographic evidence of pneumonia. These data suggest that the majority of children who are brought for medical evaluation after ingesting hydrocarbon-containing substances do not experience pulmonary complications and therefore do not require hospitalization. Only children who are symptomatic at the time of initial medical evaluation or who became symptomatic during a six- to eight-hour observation period require hospitalization.
对950名摄入含烃类产品的儿童的临床记录进行了回顾。800名儿童在初次评估时无症状，在6至8小时的观察期内一直保持无症状。所有儿童胸部X光片均正常，全部作为门诊病人治疗。另外150名儿童入院治疗；79名儿童在初次医学评估时有症状，胸部X光片异常。另外71名儿童无症状，但有肺部受累的X光证据（36名）或在到达医疗机构之前有肺部症状（35名）。并发症（7例）仅发生在有肺炎X光证据的有症状儿童中。这些数据表明，大多数摄入含烃类物质后接受医学评估的儿童没有发生肺部并发症，因此不需要住院治疗。只有在初次医学评估时有症状或在6至8小时观察期内出现症状的儿童才需要住院治疗。
