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Accession number;05A0261243
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| Title;Primary Care for Thoracic Trauma in Children |
| Author;
TAIRA YASUHIKO
(St. Marianna Univ. School of Medicine, JPN)
WAKISAKA MUNECHIKA
(St. Marianna Univ. School of Medicine, JPN)
SHIMA HIDEKI
(St. Marianna Univ. School of Medicine, JPN)
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Journal Title;Japanese Journal of Pediatric Surgery
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Journal Code:Z0323B
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ISSN:0385-6313
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VOL.37;NO.2;PAGE.185-190(2005)
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| Figure&Table&Reference;TBL.1, REF.23 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The general approach to evaluation and management of children with thoracic trauma is reviewed here. Trauma is the leading cause of death in children. Thoracic injury, a marker of severe trauma, occurs in 5 to 25 percent of childhood trauma victims. The anatomy and physiology of the thorax and the manifestations of thoracic trauma are different in children than in adults. Respiratory failure is the fundamental physiological derangement caused by severe chest trauma. Children with thoracic trauma frequently have other injuries resulting in hypovolemic shock; they may need aggressive fluid or transfusion therapy. The stabilization of cardiorespiratory status in victims is prior to all else in pediatric thoracic trauma. Thoracic trauma may result in upper airway obstruction, tension or open pneumothoraces, flail chest, or massive hemothorax; immediate management of these injuries is imperative. (author abst.) |
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