Emerg Med J. 2014 Jan;31(1):78-9. doi: 10.1136/emermed-2013-203411.1.
A short-cut review was carried out to establish whether the presence of a soft (boggy) scalp haematoma predicts the presence of intracranial injury in head-injured children. Three studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are shown in table 1. The clinical bottom line is that the presence of a soft (boggy) scalp haematoma appears to predict positive findings on CT imaging. In the one study that directly addressed the three-part question, it was concluded to warrant CT imaging. Since that time, however, concern regarding the risks associated with irradiation of children may challenge a strategy of imaging otherwise asymptomatic children with no other indication for CT imaging.
进行了快速复习，以确定头部受伤儿童的软（肿胀）头皮血肿是否预示颅内损伤的存在。有三项研究直接与该问题相关。这些论文的作者、日期和出版国家、研究的患者群体、研究类型、相关结果、研究的优缺点均列于表 1 中。临床要点是，软（肿胀）头皮血肿的存在似乎预示着 CT 成像有阳性发现。在一项直接解决三部分问题的研究中，得出的结论是需要进行 CT 成像。然而，从那时起，由于担心与儿童辐射相关的风险，可能会对没有其他 CT 成像指征的无症状儿童进行成像的策略提出质疑。
