儿童下肢严重损伤截肢与保留的医学与伦理学思考

Amputation or Salvage-the Medical and Ethical Reflection on the Children with Lower Limbs Severe Injury

小儿下肢严重损毁后存在截肢与保留的选择,为此,作者曾建立小儿下肢损伤严重程度判定评分表和判别方程,制订截肢分值区间、保肢分值区间和留观灰色区间,认为小儿下肢损伤严重程度判定评分表和判别方程对小儿下肢损伤伤情判断有重要作用,并从医学和伦理学角度进行分析。

We often have to choosea between amputation and salvage after severe injuries in lower limbs of children. We have established the score scale and discriminatory equation in judging the severity of low limb injury in children. Through medical ethical analysis, the author makes a conclusion that the score scale and the discriminatory equation is valuable in determining severity of lower limbs injury in children.