地震灾害中儿童创伤危重症的救治

Treatment of pediatric critical trauma following earthquake disasters

儿童自我防护能力较差,在自然灾害中,儿童是最易受到伤害的群体。地震中死亡的主要原因包括心搏呼吸骤停、严重颅脑损伤、休克、挤压综合征及多脏器功能衰竭。优先实施对儿童的集中、有效救治,并实现多学科交叉合作,将危重患儿集中在有条件的PICU平台上,可提高重症患儿的存活率、降低致残率。

Children are the most vulnerable in natural disasters for their poor self-protection ability. Pediatric deaths in earthquakes are mainly due to cardiopulmonary arrest, severe cranioeerebral injury, shock, crush syndrome, and multiple organ failure. Priority should be given to centralized, effective treatment for injured children, with multidiseiplinary cooperation, and severe cases need to be transfelxed to the pediatric intensive care unit, thus improving survival and reducing disability.