中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (8): 637-644.DOI: 10.19538/j.ek2025080602

• 指南.标准.共识 • 上一篇    下一篇

儿童黏膜损伤修复管理专家共识

  

  1. 执 笔:魏 萍,寇 巍,罗 伟 制订专家(以单位首字和姓氏汉语拼音顺序排序):北京协和医院(王子熹);东莞市食品药品检验所(罗 伟);暨南大学附属广州市红十字会医院(张 志);江西省儿童医院(王 彤);山东大学齐鲁儿童医院 济南市儿童医院(张建基);首都儿科研究所附属儿童医院(高 莹,王梦醒);首都医科大学附属北京积水潭医院(牛艳艳,张 凡);四川大学华西第二医院(寇 巍,魏 萍);苏州市立医院(于艳艳);天津大学儿童医院 天津市儿童医院(李钦峰,林杨杨,刘欣欣);天津市第四医院(李 林);天津市南开医院(刘雅静,王 晖);西安市儿童医院(王 洁)
  • 出版日期:2025-08-06 发布日期:2025-09-10
  • 通讯作者: 张建基,电子信箱:zhjj196176@163.com

Expert consensus on the management of mucosal injury repair in children

  • Online:2025-08-06 Published:2025-09-10

摘要: 儿童黏膜损伤常见于口腔、呼吸道及消化道等部位,因黏膜组织娇嫩且易受物理损伤、化学刺激等影响,修复管理需兼顾安全性、有效性及儿童特殊生理心理需求。该专家共识推荐儿童黏膜损伤修复的核心策略是:早期评估损伤范围、程度及感染风险,结合儿童年龄与配合度制定个体化方案。通过清洁保护、湿润修复及营养支持促进愈合,注重疼痛管理与感染预防,同时坚持长期随访预防瘢痕形成及功能障碍。该共识旨在为临床诊疗提供具有循证医学支持的实用管理方案,优化儿童黏膜损伤修复的治疗策略。

关键词: 黏膜损伤, 修复, 专家共识, 儿童, 损伤管理

Abstract:

Mucosal injury in pediatric patients frequently occurs in delicate mucosal tissues such as the oral cavity,nasal passages,and gastrointestinal tract,as these areas are particularly susceptible to physical trauma or chemical irritation.Effective management of these injuries requires an approach that prioritizes patient safety,treatment efficacy,and the distinct physiological and psychological needs of pediatric patients. This expert consensus recommends core strategies for the repair of mucosal injuries,including the early assessment of injury range,severity and infection risk,and the development of personalized treatment plans tailored to the age and compliance of the child.Key interventions include wound cleaning,protective measures,moist wound healing and appropriate nutritional support, in order to promote healing,while focusing on pain management and infection prevention. Meanwhile,long-term follow-up is necessary to prevent the risk of scarring and functional impairment. This expert consensus aims to provide a practical,evidence-based management plan for the clinical diagnosis and treatment,and optimize the repair strategies for mucosal injuries in pediatric patients.

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