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小儿头部损伤与脑震荡

Pediatric head injury and concussion.

作者信息

Wing Robyn, James Catherine

机构信息

Department of Pediatrics, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.

出版信息

Emerg Med Clin North Am. 2013 Aug;31(3):653-75. doi: 10.1016/j.emc.2013.05.007. Epub 2013 Jul 4.

Abstract

Children with head injuries frequently present to emergency departments. Even though most of these children have minor injuries, head injury is the most common cause of traumatic deaths in pediatric patients. The pediatric GCS and decision rules for obtaining head CT imaging help the provider evaluate head-injured infants and children. The provider must be vigilant to diagnose those who have life-threatening intracranial injuries or are victims of abusive head trauma. The goal of the emergency physician is to diagnose and treat the consequences of the primary injury and to limit or prevent secondary injury.

摘要

头部受伤的儿童经常前往急诊科就诊。尽管这些儿童中的大多数伤势较轻,但头部受伤是儿科患者创伤性死亡的最常见原因。儿科格拉斯哥昏迷量表(GCS)以及获取头部CT成像的决策规则有助于医疗人员评估头部受伤的婴幼儿和儿童。医疗人员必须保持警惕,以诊断出那些有危及生命的颅内损伤或遭受虐待性头部创伤的儿童。急诊医生的目标是诊断和治疗原发性损伤的后果,并限制或预防继发性损伤。

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