Kirkwood Michael W, Yeates Keith Owen, Taylor H Gerry, Randolph Christopher, McCrea Michael, Anderson Vicki A
Department of Physical Medicine, University of Colorado at Denver and Health Sciences Center and The Children's Hospital, Denver, CO, USA.
Clin Neuropsychol. 2008 Sep;22(5):769-800. doi: 10.1080/13854040701543700. Epub 2007 Sep 1.
Little scientific attention has been aimed at the non-acute clinical care of pediatric mild TBI. We propose a clinical management model focused on both evaluation and intervention from the time of injury through recovery. Intervention strategies are outlined using a framework encompassing four relevant domains: the individual youth, family, school, and athletics. Clinical management has primary value in its potential to speed recovery, minimize distress during the recovery process, and reduce the number of individuals who subjectively experience longer lasting postconcussive problems. With proper management, most children and adolescents sustaining an uncomplicated mild TBI can be expected to recover fully.
小儿轻度创伤性脑损伤的非急性临床护理很少受到科学关注。我们提出了一种临床管理模式,该模式从受伤时到康复阶段都注重评估和干预。干预策略使用一个包含四个相关领域的框架进行概述:个体青少年、家庭、学校和体育活动。临床管理的主要价值在于它有可能加速康复、将康复过程中的痛苦降至最低,并减少主观上经历持续时间更长的脑震荡后问题的个体数量。通过适当的管理,大多数遭受单纯性轻度创伤性脑损伤的儿童和青少年有望完全康复。