Jackson Benjamin F
Division of Emergency Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA.
Pediatr Emerg Care. 2010 Feb;26(2):143-5. doi: 10.1097/PEC.0b013e3181ce30d8.
The presentation of vomiting and bradycardia after closed head trauma should invariably prompt concern for significant intracranial injury, yet other less common causes for the clinical picture do exist. This case reports one such scenario in which fracture to the patient's inferior orbital wall resulted in the rare though potentially life-threatening oculocardiac reflex, a vagally mediated phenomenon with possible respiratory, cardiovascular, and gastric motility effects.
闭合性颅脑损伤后出现呕吐和心动过缓应始终引起对严重颅内损伤的关注，但确实存在导致这种临床表现的其他较不常见原因。本病例报告了这样一种情况，即患者眶下壁骨折导致了罕见但可能危及生命的眼心反射，这是一种由迷走神经介导的现象，可能对呼吸、心血管和胃动力产生影响。
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