摇晃婴儿综合征：2 例报告。
Shaken adult syndrome: report of 2 cases.
机构信息
Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison.
出版信息
JAMA Ophthalmol. 2013 Nov;131(11):1468-70. doi: 10.1001/jamaophthalmol.2013.5073.
IMPORTANCE
To establish that the intracranial and ophthalmologic findings present in victims of abusive head trauma can also be seen in shaken adults.
OBSERVATIONS
We report 2 cases of shaken adults with intracranial and ophthalmologic findings that resulted from repetitive acceleration-deceleration injury. These findings included intracranial hemorrhages, hemorrhages involving the optic nerve sheath, intraretinal and subretinal hemorrhages, and macular folds.
CONCLUSIONS AND RELEVANCE
The intracranial and ophthalmologic findings that are characteristic of abusive head trauma--subdural hemorrhages, optic nerve sheath hemorrhages, and retinal hemorrhages--are generally thought to be limited to young children and infants. Adults may also be victims of shaking abuse, and an ophthalmic examination may be beneficial when shaking is suspected.
重要性
确定虐待性头部创伤受害者的颅内和眼科发现也可见于被摇晃的成年人。
观察结果
我们报告了 2 例被摇晃的成年人，他们的颅内和眼科发现是由反复的加速-减速损伤引起的。这些发现包括颅内出血、视神经鞘出血、视网膜内和视网膜下出血以及黄斑皱褶。
结论和相关性
虐待性头部创伤的特征性颅内和眼科发现——硬膜下出血、视神经鞘出血和视网膜出血——通常被认为仅限于幼儿和婴儿。成年人也可能是摇晃虐待的受害者，当怀疑摇晃时，眼科检查可能会有所帮助。
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