1 Center for Clinical Research and Evidence-Based Medicine, University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 2.106, Houston, TX 77030.
AJR Am J Roentgenol. 2015 May;204(5):967-73. doi: 10.2214/AJR.14.14191.
The purpose of this article is to review the constellation of findings of abusive head trauma, which may be accompanied by injuries to the appendicular and axial skeleton, brain and spinal cord, and retina. Additional common features include skin and soft-tissue injury, visceral findings, and evidence of oral trauma.
The evidence base for abusive head trauma encompasses diverse disciplines, including diagnostic imaging, pathology, pediatrics, biomechanics, ophthalmology, epidemiology, and orthopedics. When the varied sources of evidence are pieced together and taken in toto, abusive head trauma is often readily differentiated from alternative explanations of an infant's injuries.
本文旨在回顾虐待性头部创伤的一系列发现，这些发现可能伴有附肢和中轴骨骼、脑和脊髓以及视网膜的损伤。其他常见特征包括皮肤和软组织损伤、内脏发现以及口腔创伤的证据。
虐待性头部创伤的证据基础涵盖了多个学科，包括诊断影像学、病理学、儿科学、生物力学、眼科学、流行病学和骨科。当将各种来源的证据拼凑在一起并全盘考虑时，虐待性头部创伤通常很容易与婴儿损伤的其他解释区分开来。
