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摇晃婴儿综合征:我们有多大把握?

Shaken baby syndrome: what certainty do we have?

作者信息

Vinchon Matthieu

机构信息

Department of Pediatric Neurosurgery, University Hospital, Hôpital Roger Salengro, 59037, Lille Cedex, France.

出版信息

Childs Nerv Syst. 2017 Oct;33(10):1727-1733. doi: 10.1007/s00381-017-3517-8. Epub 2017 Sep 6.

Abstract

BACKGROUND

Shaken baby syndrome is a common and devastating disease in infants. In spite of its frequency, many controversies persist, regarding the pathophysiology, diagnosis, and management.

AIM OF THE STUDY

We reviewed several salient and challenging issues related to SBS, like its pathogenesis, predisposing factors, differential diagnosis, and prevention programs.

MATERIAL AND METHODS

We derive arguments from the literature and from our prospective registry of accidental and non-accidental traumas in infants.

CONCLUSIONS

Much remains to be understood in SBS, and prevention programs for this entirely man-made disaster are still in their infancy. Pediatric neurosurgeons should be involved actively in the medical management and research on SBS.

摘要

背景

摇晃婴儿综合征是婴儿中一种常见且具有毁灭性的疾病。尽管其发病率较高,但在病理生理学、诊断和治疗方面仍存在许多争议。

研究目的

我们回顾了与摇晃婴儿综合征相关的几个突出且具有挑战性的问题,如发病机制、诱发因素、鉴别诊断和预防方案。

材料与方法

我们从文献以及我们对婴儿意外和非意外创伤的前瞻性登记中获取论据。

结论

摇晃婴儿综合征仍有许多有待了解之处,针对这一完全人为灾难的预防方案仍处于起步阶段。儿科神经外科医生应积极参与摇晃婴儿综合征的医疗管理和研究。

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