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[一名儿童从五楼坠落导致严重头部受伤后的神经和眼科症状。病例报告]

[The neurological and ophthalmic symptoms in the child after the serious head injury due to the fall from the fifth storey. A case report].

作者信息

Puchalska-Niedbał Lidia

机构信息

Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej al. Powstańców Wlkp. 72, 70-111 Szczecin.

出版信息

Ann Acad Med Stetin. 2007;53 Suppl 1:85-9; discussion 89.

Abstract

INTRODUCTION

The prognosis in the case of head injury may be different, Serious head injures are the leading causes of the death. In the remaining cases, the child recovers entirely, or disturbances of the cognitive and motor activities remain. The aim of the work is to show neurological and ophthalmological complications at the child after the fali down from the fifth storey.

CASE REPORTS

A four-year-old girl with severe injuries of the body as result of the fall down from the fifth storey has been described. She had serious changes within head--the bruise of the brain with typical symptoms after brain trauma. The period spent in coma lasted for quite long time, therefore the return of the base life activities also stretched over months. Control computer tomography scan of the head showed multiple fractures of the skull bones and of brain tissue injury. The organ of sight complications concerned visual acuities, the large angle squint, the entire lack of the convergence reflex and post-traumatic symptoms on the fundus of eyeballs.

RESULT

The long-term suitable medical care let the child to survive and then slowly recover.

CONCLUSION

The intensive treatment and the rehabilitation of the child after the heavy head trauma allowed to obtain the astounding improvement of the psychomotor activities. It is very important for the children after the head trauma to conduct for the multispecialist treatment and proper long-term rehabilitation of children.

摘要

引言

头部受伤的预后可能不同,严重头部损伤是死亡的主要原因。在其余病例中,儿童可完全康复,或仍存在认知和运动活动障碍。本文的目的是展示一名从五楼坠落的儿童的神经和眼科并发症。

病例报告

描述了一名因从五楼坠落而身体严重受伤的四岁女孩。她头部有严重变化——脑挫伤并伴有典型的脑外伤症状。昏迷期持续了很长时间,因此基本生命活动的恢复也持续了数月。头部计算机断层扫描显示颅骨多处骨折和脑组织损伤。眼部并发症涉及视力、大角度斜视、完全缺乏集合反射以及眼球眼底的创伤后症状。

结果

长期适当的医疗护理使孩子存活下来并逐渐康复。

结论

重度头部创伤后对儿童进行强化治疗和康复可使精神运动活动得到惊人改善。对头部创伤后的儿童进行多专科治疗和适当的长期康复非常重要。

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