Hamilton Nicholas A, Keller Martin S
Saint Louis Children’s Hospital, One Children’s Place, St. Louis, MO 63110, USA.
Semin Pediatr Surg. 2010 Nov;19(4):271-8. doi: 10.1053/j.sempedsurg.2010.06.005.
Head injury occurs frequently in childhood and results in approximately 500,000 emergency department visits and over $1 billion in costs annually. Nearly 75% of these children are ultimately diagnosed with mild traumatic brain injury (MTBI), a misnomer because many will have radiographically identified intracranial injuries and long-term consequences. Identification of the brain at risk and prevention of secondary injury is associated with the largest reduction in head trauma morbidity and mortality. This article reviews the current literature to discuss the initial evaluation, management, and long-term outcomes in children sustaining MTBI.
头部损伤在儿童时期经常发生,每年导致约50万次急诊就诊,费用超过10亿美元。这些儿童中近75%最终被诊断为轻度创伤性脑损伤(MTBI),这一名称并不恰当,因为许多患儿会有影像学检查发现的颅内损伤和长期后果。识别有风险的脑部并预防继发性损伤与头部创伤发病率和死亡率的最大程度降低相关。本文回顾当前文献,以讨论遭受MTBI的儿童的初始评估、管理及长期预后。