Since June, the emergency volume of neurosurgery in Shanghai Children's Hospital has increased by nearly 20%
Why does the seemingly safest home cause frequent accidental injuries to children?
Six-year-old Lili (pseudonym) climbed onto the back of the sofa at home, fell accidentally, and hit the back of her head heavily on the wooden floor. She immediately vomited, and she felt dizzy. When she went to the hospital for an examination, she had a cerebral hemorrhage.
This is a real case admitted to the neurosurgery emergency department of Shanghai Children's Hospital a few days ago.
Summer is often the season of high incidence of unintentional injuries to children.
Medical experts remind parents that children's self-control is still immature, and they are prone to unexpected harm driven by curiosity.
"Many parents mistakenly believe that the way to and from school, or the outdoor activities organized by the school are the most frequent locations of accidents. In fact, this is not the case." In an interview, a doctor admitted that children's accidental injuries often occur in the most seemingly most safe place.
Statistics show that more than half of all unintentional injuries occur at home, even right under the eyes of parents.
Young children have weak motor balance, especially to be alert to the risk of falling
It is summer vacation, and in the evening, the emergency department of Shanghai Children's Hospital is still very busy. The cries of children and the soothing sounds of parents are connected together, which constitutes the busy daily life of medical care since the beginning of summer.
Since June, Shanghai Children's Hospital's neurosurgery emergency volume has increased by nearly 20%.
According to Xiao Bo, director of neurosurgery, there are 10%-15% more children who just bump their heads and get stitches on their heads.
Accidents always come suddenly.
When Lili first jumped on the sofa, her parents didn't care.
It is a child's nature to be active and playful, but the danger occurs in an instant: the child is not careful, his feet are empty, and his body falls heavily.
Emergency CT showed that the girl had a subdural hemorrhage due to a skull fracture, and an emergency craniotomy was required.
In the emergency room, my mother burst into tears.
The only thing that is fortunate is that the parents were sent to the doctor in time. Lili's operation was very successful and she has been discharged from the hospital. She is in good condition now.
Not only is the summer vacation a "high incidence period" for children's accidental injuries, but the first scene of many accidents is not outdoors, but indoors.
Xiao Bo told reporters that because the weather is too hot in summer, parents tend to let their children play indoors, and the most choice is naturally home.
"The space at home is relatively small, and the density of items is high, so there are naturally more opportunities to bump into it. Especially children aged 3-6 are still in the cognitive period of ignorance, but their athletic ability has improved, and parents are a little bit concerned. Be careful, the accident happened."
What impressed Xiao Bo was that the neurosurgery once treated a three-year-old girl who accidentally fell off the bed because of a fight with another child at home, hitting a magnetic nail with the handle facing up.
After CT examination, the magnetic nail smashed the child's skull and plunged into the brain for about 1.3 cm, causing a depressed fracture of the left parietal bone and extracerebral hemorrhage, and punctured the meninges, almost damaging the functional area of the brain.
The foreign body was successfully removed after a 5-hour operation by the neurosurgery neurosurgery team.
"Children's own movement and balance abilities are weak, and they are full of curiosity about the surrounding environment. In the process of learning to crawl, walk, run, jump and explore new things around, the risk of falling and falling will increase for children." Shanghai Wu Wenjun, an expert from the Centers for Disease Control and Prevention, told reporters that in general, most falls do not cause serious consequences, but the disability and fatality rate of children aged 0-15 is very high, accounting for 6.15% of the proportion of children's deaths, which is the death of children. the third cause of injury.
Parents lack safety awareness, more than half of accidental injuries occur at home
Home, about to become the "first place" for children's accidental injury?
This statement is not alarmist in the eyes of many doctors.
According to the World Health Organization, about one million children under the age of 14 die from unintentional injuries every year, and more than half of them occur in families.
In the Orthopedics Department of Shanghai Children's Hospital, accidental injuries account for one-third of the emergency department of orthopaedics. Falls, cuts, crush injuries... Every summer, there will always be more children with fractures.
"Not long ago, a case was received. The parents locked the door when they went out to buy vegetables, and there were no guardrails outside the window. The child fell directly from the window." Dong Liangchao, deputy chief physician of the Department of Orthopedics of Shanghai Children's Hospital, told reporters that such cases occur every year. Speaking of, every year, unfortunately, when things don't happen, parents don't care at all.
After all, many parents still lack "bottom line awareness" when it comes to child safety.
A few days ago, a survey of 1,545 parents of primary and secondary school students showed that 57.9% of the interviewed parents felt that their children's safety awareness was not strong enough, and 86.6% of the interviewed parents believed that safety education in primary and secondary schools was crucial to strengthening students' safety awareness.
"When it comes to safety education in primary and secondary schools, many people, including parents, blame the lack of safety awareness of primary and secondary school students on the lack of school safety education." A middle school teacher in Shanghai believes that it is the school's responsibility to do a good job of safety education for primary and secondary school students, but this It does not mean that the safety education school for students can be "arranged".
Parents are more important "respondents" than schools.
"In outpatient clinics, cuts within the age of 3 are the most common." Dong Liangchao said that handmade knives and eyebrow trimmers placed by parents have become a "source of danger". Children have a strong ability to imitate. There are gaps in the skin.
In severe cases, hand tendons may also be severed.
"Children's safety awareness must be cultivated from an early age, and parents must participate in it, and especially pay attention to cultivating children's self-control in daily life." Also as a child's father, Dong Liangchao said bluntly, "As a parent, you have to be diligent in your mouth. Keep your eyes sharper and your hands faster, so that while children learn to protect themselves, they can also protect children in time.”
Our reporter Li Chenyan