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小儿轻度头部损伤管理中的当前争议

Current controversies in the management of minor pediatric head injuries.

作者信息

Savitsky E A, Votey S R

机构信息

UCLA School of Medicine, Los Angeles, CA, USA.

出版信息

Am J Emerg Med. 2000 Jan;18(1):96-101. doi: 10.1016/s0735-6757(00)90060-3.

Abstract

Each year hundreds of thousands of children receive care in emergency departments after head injury. Minor head injuries account for a majority of these injuries. The prevalence, morbidity, and costs associated with pediatric minor head injuries make it an important topic. We review the management of pediatric minor head injury, emphasizing current areas of controversy, including criteria for neuroimaging, indications for hospitalization, the role of anticonvulsant therapy, and the long-term neurobehavioral sequelae of pediatric minor head injury.

摘要

每年都有数十万儿童在头部受伤后到急诊科接受治疗。轻度头部损伤占这些损伤的大多数。小儿轻度头部损伤的患病率、发病率和相关费用使其成为一个重要课题。我们回顾小儿轻度头部损伤的管理,重点关注当前存在争议的领域,包括神经影像学检查标准、住院指征、抗惊厥治疗的作用以及小儿轻度头部损伤的长期神经行为后遗症。

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