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小儿脑震荡和轻度创伤性脑损伤的最新进展

Recent Advances in Pediatric Concussion and Mild Traumatic Brain Injury.

作者信息

Almeida Andrea Ana, Lorincz Matthew Thomas, Hashikawa Andrew Nobuhide

机构信息

Department of Neurology, Michigan Medicine, Michigan NeuroSport, 2301 Commonwealth Boulevard, Suite 1022, Ann Arbor, MI 48105, USA.

Department of Emergency Medicine, Children's Emergency Services, Michigan Medicine, North Campus Research Complex, University of Michigan Injury Center, 2800 Plymouth Road, Suite G080, NCRC Building 10, Ann Arbor, MI 48105, USA.

出版信息

Pediatr Clin North Am. 2018 Dec;65(6):1151-1166. doi: 10.1016/j.pcl.2018.07.006.

Abstract

Concussions after a head injury among children continues to be a substantial public health concern. An increasing number of concussions are being managed initially by primary care physicians. The diagnosis of concussion remains a clinical diagnosis despite the availability of ancillary tests such as computerized neuropsychological testing, advanced imaging, and blood biomarkers. Clinically, overlooking other injuries and comorbidities may lead to prolonged recovery for the patient. Addressing concussions in a multidisciplinary approach may help in reducing recovery time for patients. Retirement from sport in the pediatric population remains a controversial issue lacking evidenced-based studies.

摘要

儿童头部受伤后的脑震荡仍然是一个重大的公共卫生问题。越来越多的脑震荡最初由初级保健医生进行处理。尽管有计算机化神经心理测试、高级成像和血液生物标志物等辅助检查,但脑震荡的诊断仍然是临床诊断。在临床上,忽视其他损伤和合并症可能会导致患者恢复时间延长。采用多学科方法处理脑震荡可能有助于缩短患者的恢复时间。儿科人群中因脑震荡而从体育运动中退役仍然是一个有争议的问题,缺乏循证研究。

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