Trachtman H, Woloski-Wruble A C, Kilimnick N, Ausabel J F, Klein J D, Weissman M S, Selesny J, Lebowitz Y
Department of Pediatrics, Schneider Children's Hospital, New Hyde Park, NY 11042.
Clin Pediatr (Phila). 1994 Nov;33(11):649-53. doi: 10.1177/000992289403301103.
Clinical practice was surveyed over a 4-week period at a sleep-away camp for children ages 9 to 16 years. The facility is located in the Pocono Mountains in Pennsylvania and has an enrollment of 694 campers and 266 adult staff members. There was a total of 895 visits to the infirmary; however, 190 children were evaluated on more than one occasion. Younger children and girls were more likely to seek medical help. The most common presenting complaints involved physical injuries related to sports activities, followed by a wide range of upper respiratory difficulties, such as sore throat, conjunctivitis, and stuffed nose. Tick bites were not observed in any campers. Significant psychosocial problems were not encountered among any children. Only one child had to be sent home from camp for specific treatment; this was a 14-year-old girl who suffered a lacerated nerve of the third finger on her right hand that required surgical correction. These data indicate that, aside from an increase in minor sports-related injuries, the health problems of children in camp are not significantly different in type or severity from those they experience at home. Furthermore, children attending camp can be relied upon to accurately report their complaints and receive appropriate medical attention.
在一个面向9至16岁儿童的寄宿制夏令营中,对其四周内的临床实践情况进行了调查。该营地位于宾夕法尼亚州的波科诺山区,招收了694名营员和266名成年工作人员。医务室共接待了895人次就诊;然而,有190名儿童接受了不止一次的评估。年龄较小的儿童和女孩更倾向于寻求医疗帮助。最常见的就诊主诉是与体育活动相关的身体损伤,其次是各种上呼吸道疾病,如喉咙痛、结膜炎和鼻塞。在任何营员中均未观察到蜱虫叮咬。在任何儿童中均未遇到严重的心理社会问题。只有一名儿童因需要特殊治疗而被送回家;这是一名14岁的女孩,她右手的第三根手指神经撕裂,需要手术矫正。这些数据表明,除了与体育活动相关的轻微损伤有所增加外,营地中儿童的健康问题在类型或严重程度上与他们在家中遇到的问题并无显著差异。此外,可以信赖参加营地的儿童能够准确报告他们的症状并获得适当的医疗护理。