From the Attending Physician, Division of Emergency Medicine, Children's Hospital of Philadelphia.
Attending Physician, Sports Medicine and Performance Center, Children's Hospital of Philadelphia, Philadelphia, PA.
Pediatr Emerg Care. 2021 Jul 1;37(7):371-379. doi: 10.1097/PEC.0000000000002498.
Concussion, a type of mild traumatic brain injury, is a common injury encountered by providers caring for pediatric patients in the emergency department (ED) setting. Our understanding of the pathophysiologic basis for symptom and recovery trajectories for pediatric concussion continues to rapidly evolve. As this understanding changes, so do recommendations for optimal management of concussed youth. As more and more children present to EDs across the country for concussion, it is imperative that providers caring for children in these settings remain up-to-date with diagnostic recommendations and management techniques. This article will review the definition, epidemiology, pathophysiology, diagnosis, and management of pediatric concussion in the ED setting.
脑震荡，一种轻度创伤性脑损伤，是急诊（ED）环境中护理儿科患者的医生经常遇到的一种损伤。我们对儿科脑震荡的症状和恢复轨迹的病理生理基础的理解还在迅速发展。随着这种理解的变化，对青少年脑震荡的最佳管理建议也在发生变化。随着越来越多的儿童在全国范围内的急诊就诊，护理这些环境中儿童的医生必须了解最新的诊断建议和管理技术。本文将回顾 ED 环境中儿科脑震荡的定义、流行病学、病理生理学、诊断和管理。
