Reid Samuel R, Liu Meixia, Ortega Henry W
Childrens Hospitals and Clinics of Minnesota, St Paul, MN 55102, USA.
Clin Pediatr (Phila). 2012 Aug;51(8):745-9. doi: 10.1177/0009922812446009. Epub 2012 May 4.
Current recommendations are that young children with a skull fracture following head injury undergo computed tomography (CT) examination of their head to exclude significant intracranial injury. Recent reports, however, have raised concern that radiation exposure from CT scanning may cause malignancies.
To estimate the proportion of children with nondisplaced linear skull fractures who have clinically significant intracranial injury.
Retrospective review of patients younger than 2 years who presented to an emergency department and received a diagnosis of skull fracture.
Ninety-two patients met the criteria for inclusion in the study; all had a head CT scan performed. None suffered a clinically significant intracranial injury.
Observation, rather than CT, may be a reasonable management option for head-injured children younger than 2 years who have a nondisplaced linear skull fracture on plain radiography but no clinical signs of intracranial injury.
目前的建议是，头部受伤后发生颅骨骨折的幼儿应接受头部计算机断层扫描（CT）检查，以排除严重的颅内损伤。然而，最近的报告引发了人们对CT扫描辐射暴露可能导致恶性肿瘤的担忧。
估计无移位线性颅骨骨折患儿发生具有临床意义的颅内损伤的比例。
回顾性分析2岁以下因头部受伤到急诊科就诊并被诊断为颅骨骨折的患者。
92例患者符合纳入本研究的标准；均进行了头部CT扫描。无一例发生具有临床意义的颅内损伤。
对于2岁以下头部受伤且X线平片显示为无移位线性颅骨骨折但无颅内损伤临床体征的儿童，观察而非CT检查可能是一种合理的处理选择。
