Ciurea Alexandru Vlad, Sandu Aurelia Mihaela, Popescu Mihai, Iencean Stefan Mircea, Davidescu Bogdan
Emergency Clinical Hospital Bagdasar-Arseni, 1st Department of General Surgery, UMF "Carol Davila", Bucharest.
J Med Life. 2008 Oct-Dec;1(4):403-14.
Cranial traumas have different particularities in infants, toddlers, preschool child, school child and teenagers. The assessment of these cases must be individualized according to age. It is completely different in children that in adults. Trauma scales, very useful in grading the severity and predicting outcome in traumatic brain injury, used in adults must be adapted in children. Children have age-related specificity and anatomic particularities, for each of this period of development. Neurotrauma scales, specific for infants and children, such as Pediatric Coma Scale, Children's Coma Score, Trauma Infant Neurological Score, Glasgow Coma Scale, Liege Scale are reviewed, as well as neurotrauma outcome scales, like Glasgow Outcome Scale, modified Rankin score, KOSCHI score and Barthel Index. The authors present these scales in an exhaustive manner for thoroughgoing pediatric neurotrauma standards.
颅脑创伤在婴儿、幼儿、学龄前儿童、学龄儿童和青少年中具有不同的特点。这些病例的评估必须根据年龄进行个体化。儿童与成人的情况完全不同。用于评估成人创伤性脑损伤严重程度和预测预后的创伤量表，在儿童中必须进行调整。在每个发育阶段，儿童都有与年龄相关的特异性和解剖学特点。本文回顾了针对婴幼儿和儿童的神经创伤量表，如小儿昏迷量表、儿童昏迷评分、创伤婴儿神经评分、格拉斯哥昏迷量表、列日量表，以及神经创伤预后量表，如格拉斯哥预后量表、改良Rankin评分、KOSCHI评分和Barthel指数。作者详尽地介绍了这些量表，以建立全面的儿科神经创伤标准。
