Bem Z, Sasiadek M, Cieśla K
Pediatr Pol. 1989 Aug-Sep;64(8-9):547-50.
308 CT scans of the head in children below 3 years of age were analysed. 70% of children were younger than 1 year. The most common findings in this age group were subdural effusions (usually no wider than 10 mm) and hydrocephalus. The authors conclude that the indications to CT scan should be more rigorous because of the high dose of the ionizing radiation applied. Ultrasonography should be the initial investigation in the children with persistent fontanellae+ as it has a similar diagnostic efficiency without harmful effect to the child body.
对3岁以下儿童的308份头部CT扫描进行了分析。70%的儿童年龄小于1岁。该年龄组最常见的表现是硬膜下积液(通常宽度不超过10毫米)和脑积水。作者得出结论,由于使用的电离辐射剂量高,CT扫描的指征应该更严格。超声检查应作为囟门未闭儿童的初始检查手段,因为它具有相似的诊断效率且对儿童身体无有害影响。