Ceballos Saribel Garcia
Columbia University School of Nursing, New York, NY 10032, USA.
Adv Emerg Nurs J. 2009 Oct-Dec;31(4):277-86. doi: 10.1097/TME.0b013e3181bd785d.
Abusive head trauma (AHT) has greater mortality and morbidity than any other form of physical abuse. Therefore, early recognition and accurate diagnosis are essential for comprehensive investigation and appropriate treatment of infants who present with this devastating traumatic injury. Advanced practice nurses need to have a thorough understanding of AHT in order to promptly and accurately assess and manage these infants. Using a case-based approach, the epidemiology, pathophysiology, mechanisms of injury, clinical presentation, diagnosis, and treatment of AHT are described. This article also discusses AHT prevention and implications for advanced practice nurses caring for these patients.
虐待性头部创伤(AHT)的死亡率和发病率高于任何其他形式的身体虐待。因此,对于出现这种毁灭性创伤性损伤的婴儿,早期识别和准确诊断对于全面调查和适当治疗至关重要。高级执业护士需要对AHT有透彻的了解,以便迅速准确地评估和管理这些婴儿。本文采用基于病例的方法,描述了AHT的流行病学、病理生理学、损伤机制、临床表现、诊断和治疗。本文还讨论了AHT的预防以及对照顾这些患者的高级执业护士的影响。