重视儿童摄入性创伤的诊治理念

Emphasizing the diagnosis and treatment concept of ingestive trauma in children

儿童摄入性创伤是指儿童经口摄入异物、化学腐蚀性物质、毒性物质等导致的消化道损伤及相关并发症,其发生率高、致残率和病死率高、医疗支出大,严重影响儿童的身心健康。儿童摄入性创伤需紧急救治,医疗设备依赖大,技术难度高,各级医院医疗水平不足以对这部分患儿进行同质的救治,导致病情延误及出现并发症可能。因此,文章通过首创性提出摄入性创伤的概念,并结合笔者工作实践和文献综述,提出对儿童摄入性创伤诊治理念新的认识,以期全面提高应对儿童摄入性创伤的医疗救治能力,此外应注重健康教育的宣传工作,树立防大于治的理念,是减少儿童摄入性创伤的重要举措。

Pediatric ingestive trauma refers to gastrointestinal injury and related complications caused by children's oral ingestion of foreign bodies,caustic substances,and toxic substances.It has a high incidence,high disability rate,high mortality rate,and high medical expenditure,which seriously affects children's physical and mental health.Children with ingestive trauma require emergency treatment,which is heavily dependent on medical equipment and technically challenging.The medical level of hospitals in different classes is not sufficient for the homogeneous treatment of these children,resulting in delays and complications.Therefore,this paper proposes the concept of ingestive trauma for the first time,and puts forward a new understanding of the diagnosis and treatment concept of children's ingestive trauma based on the author's working practice and literature review,in order to comprehensively improve the medical treatment ability of children's ingestive trauma.In addition,we should pay attention to health education and establish the concept of prevention rather than treatment,which are important measures to reduce children's ingestive trauma.