Rønde Gitte, Blichfeldt Susanne
Roskilde Sygehus Øst, Børneafdelingen.
Ugeskr Laeger. 2008 May 12;170(20):1740-3.
Commotio cerebri often occurs in children. The purpose of this study is to illustrate how children with commotio cerebri are treated at paediatric departments in Denmark
A questionnaire regarding visitation, admission, observation, discharge and follow-up of children with commotio cerebri as well as department guidelines was mailed to Danish paediatric departments in the period March-September 2006.
Children are often initially treated in the emergency room and admitted to a paediatric department if there is a need for observation. The observation period varies within 24 hours. In most departments observation is standardized, for instance according to the Glasgow Coma Scale. Oral information at discharge is always given, whereas written information about symptoms of commotio cerebri and possible late complications are given by 58% of paediatric departments. Follow-up of the worse cases of commotio cerebri is scheduled by 68% of paediatric departments. Most departments have guidelines for the treatment of patients with commotio cerebri.
There are differences regarding the period of observation for admitted children with commotio cerebri. Oral and written information for parents about deterioration symptoms and possible late complications is recommended along with a statement in the journal of each patient regarding the need for a follow-up. A broader dialogue between the different groups of doctors who treat children with commotio cerebri is recommended.
脑震荡常发生于儿童。本研究旨在阐明丹麦儿科部门如何治疗患有脑震荡的儿童。
2006年3月至9月期间，一份关于脑震荡患儿的就诊、入院、观察、出院及随访情况以及科室指南的调查问卷被邮寄给丹麦的儿科部门。
儿童通常最初在急诊室接受治疗，如有观察需要则入住儿科部门。观察期在24小时内有所不同。在大多数科室，观察是标准化的，例如根据格拉斯哥昏迷量表进行。出院时总会提供口头信息，而58%的儿科部门会提供关于脑震荡症状及可能的晚期并发症的书面信息。68%的儿科部门会安排对病情较重的脑震荡病例进行随访。大多数科室有针对脑震荡患者的治疗指南。
对于收治的脑震荡患儿，观察期存在差异。建议向家长提供关于病情恶化症状及可能的晚期并发症的口头和书面信息，并在每位患者的病历中注明随访需求。建议治疗脑震荡患儿的不同医生群体之间进行更广泛的交流。
