中国实用儿科杂志2026，Vol.41Issue(6)：474-479,510,7.DOI:10.19538/j.ek2026060604
门急诊患儿危重症的评估现状和思考
Current status and considerations of the assessment of pediatric critical conditions in outpatient and emergency departments
摘要
Abstract
As the initial site of care for pediatric emergencies and critical illness,the outpatient and emergency department plays a decisive role in patient outcomes,with assessment performance directly influencing prognosis.In high-demand clinical settings,the combination of insidious disease onset and limited physiological reserve in children complicates early risk recognition.Emergency assessment should therefore be conceptualized as a continuous process spanning prehospital management,transport,and in-hospital evaluation rather than an isolated in-hospital task.Despite substantial progress in pediatric emergency system development,further integration between prehospital and in-hospital assessment-particularly in unified risk frameworks and continuity of dynamic monitoring-is warranted.This paper reviews current practices and emphasizes physiology-centered clinical reasoning and dynamic reassessment as key strategies for detecting occult critical illness,with the goal of strengthening anticipatory risk appraisal and enhancing the resilience of the pediatric emergency care continuum.关键词
儿童危重症/早期识别/动态复评/院前-院内衔接Key words
pediatric critical illness/early recognition/dynamic reassessment/pre-hospital and hospital linkage分类
医药卫生引用本文复制引用
颜景礼,许巍..门急诊患儿危重症的评估现状和思考[J].中国实用儿科杂志,2026,41(6):474-479,510,7.基金项目
国家自然科学基金项目(82470042) （82470042）
