百日咳婴儿的视网膜出血。
Retinal haemorrhage in infants with pertussis.
作者信息
Raoof Naz, Pereira Susana, Dai Shuan, Neutze Jocelyn, Grant Cameron Charles, Kelly Patrick
机构信息
Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Te Puaruruhau (Child Protection Team), Starship Children's Hospital, Auckland, New Zealand.
出版信息
Arch Dis Child. 2017 Dec;102(12):1158-1160. doi: 10.1136/archdischild-2017-313380. Epub 2017 Sep 22.
AIMS
It has been hypothesised that paroxysmal coughing in infantile pertussis (whooping cough) could produce retinal haemorrhages identical to those seen in abusive head trauma. We aimed to test this hypothesis.
METHODS
This is a prospective study of infants hospitalised with pertussis in Auckland, New Zealand, from 2009 to 2014. The clinical severity of pertussis was categorised. All infants recruited had retinal examination through dilated pupils by the paediatric ophthalmology service using an indirect ophthalmoscope.
RESULTS
Forty-eight infants with pertussis, aged 3 weeks to 7 months, were examined after a mean of 18 days of coughing. Thirty-nine had severe pertussis and nine had mild pertussis. All had paroxysmal cough, and all were still coughing at the time of examination. No retinal haemorrhages were seen.
CONCLUSIONS
We found no evidence to support the hypothesis that pertussis may cause the pattern of retinal haemorrhages seen in abusive head trauma in infants.
目的
有假说认为，婴儿百日咳（百日咳）中的阵发性咳嗽可能会导致与虐待性头部外伤中所见相同的视网膜出血。我们旨在验证这一假说。
方法
这是一项对2009年至2014年在新西兰奥克兰因百日咳住院的婴儿进行的前瞻性研究。对百日咳的临床严重程度进行了分类。所有纳入研究的婴儿均由儿科眼科服务部门使用间接检眼镜通过散瞳进行视网膜检查。
结果
48例年龄在3周至7个月的百日咳婴儿在平均咳嗽18天后接受了检查。39例患有严重百日咳，9例患有轻度百日咳。所有婴儿均有阵发性咳嗽，且在检查时仍在咳嗽。未发现视网膜出血。
结论
我们没有发现证据支持百日咳可能导致婴儿虐待性头部外伤中所见视网膜出血模式的假说。
Zotero 插件