Altimier Leslie
Mercy Anderson Hospital, Cincinnati, Ohio 45255, USA.
J Perinat Neonatal Nurs. 2008 Jan-Mar;22(1):68-76; quiz 77-8. doi: 10.1097/01.JPN.0000311877.32614.69.
Non-accidental head trauma in infants is the leading cause of infant death from injury. Clinical features that suggest head trauma (also known as shaken baby syndrome or shaken impact syndrome) include the triad consisting of retinal hemorrhage, subdural, and/or subarachnoid hemorrhage in an infant with little signs of external trauma. Abusive head injuries are among the most common causes of serious and lethal injuries in children. These injuries may result from impact or shaking or a combination of these mechanisms. These mechanisms cause the child's head to undergo acceleration/ deceleration movements, which may create inertial movement of the brain within the cranial compartment.
婴儿非意外性头部创伤是婴儿因伤死亡的主要原因。提示头部创伤（也称为摇晃婴儿综合征或摇晃撞击综合征）的临床特征包括三联征，即在几乎没有外部创伤迹象的婴儿中出现视网膜出血、硬膜下和/或蛛网膜下腔出血。虐待性头部损伤是儿童严重和致命损伤的最常见原因之一。这些损伤可能由撞击、摇晃或这些机制的组合导致。这些机制会使儿童头部经历加速/减速运动，这可能会在颅腔内造成大脑的惯性运动。
