儿童多发伤的评估进展  

Progress in the assessment of multiple trauma in pediatrics

作　　者：祁红玉 陆巍峰[1] 郑朋飞 QI Hongyu;LU Weifeng;ZHENG Pengfei(Surgical Intensive Care Unit,the Affiliated Children’s Hospital of Nanjing Medical University,Nanjing 210026,China;Orthopedics Department,the Affiliated Children’s Hospital of Nanjing Medical University,Nanjing 210026,China)

机构地区：[1]南京医科大学附属儿童医院外科重症监护室,江苏南京210026 [2]南京医科大学附属儿童医院骨科,江苏南京210026

出　　处：《南京医科大学学报（自然科学版）》2023年第6期881-885,共5页Journal of Nanjing Medical University(Natural Sciences)

基　　金：中国工程院院地合作项目(JS2020X204)。

摘　　要：多发伤是急诊常见的危重症,儿童多发伤更有其自身的临床特点。早期识别、精准诊断、正确评估是降低多发伤致残率、病死率的关键。目前儿童创伤评分种类繁多,且越来越多的预测模型被提出,可有效判断病情严重程度及预测预后。在成像方式及时机选择上需考虑患儿状态、损伤情况、准确度及有无辐射等多种因素。影像学的发展提高了对疾病的认识,也对接诊医生提出了更高的要求。实验室检查同样可以明确诊断及预测并发症,但在时效性及获取难易程度方面参差不齐。对于多发伤患儿,结合两者进行评估更合适。随着研究的深入,多发伤的评估更加精细,但在儿童这一群体中仍有一定局限性,存在较大发展空间。Multiple trauma is a common critical disease in emergency department,and multiple trauma in children has its own clinical characteristics.Early identification,accurate diagnosis and correct evaluation are the keys to reduce the rate of disability and mortality.At present,there are many kinds of pediatric trauma scores,and more and more prediction models have been proposed,which can effectively judge the severity of the disease and predict the prognosis.In the selection of imaging method and timing,many factors should be considered,such as the state of the child,injury,accuracy and radiation.The continuous development of diagnostic imaging has improved the understanding of diseases and put forward higher requirements for doctors.Laboratory examination can also clearly diagnose and predict complications,but its timeliness and accessibility are uneven,and the cost may also need to be considered clinically.It is more appropriate to evaluate the children with multiple injuries by combining the two methods.With the deepening of research,the assessment of multiple trauma has been more sophisticated,but there are still certain limitations in children,leaving great development space.

关 键 词：多发伤 儿童 诊断成像 生物标志物 

分 类 号：R726[医药卫生—儿科]