Sinal S H, Ball M R
Department of Pediatrics, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27103.
South Med J. 1987 Dec;80(12):1505-12. doi: 10.1097/00007611-198712000-00006.
We studied both the clinical features and CT findings in 24 children who had acute head trauma as a result of child abuse. Twenty-three of them were less than 1 year of age. The diagnosis of whiplash shaken infant syndrome was made in 17. Serial CT, done in 50% of the cases, was useful in managing the medical, legal, and social aspects of the cases and in predicting the neurologic outcome. Three children died and 12 others suffered serious neurologic sequelae. The other five children has lesser degrees of deficit; one was lost to follow-up. Three were neurologically normal on follow-up visits. Two siblings of these children died of child abuse, indicating the necessity for continuing intervention in the abused child's family to prevent further abuse.
我们研究了24名因虐待儿童而遭受急性头部创伤的儿童的临床特征和CT表现。其中23名年龄小于1岁。17例被诊断为摇晃婴儿综合征。50%的病例进行了系列CT检查，这对处理病例的医疗、法律和社会问题以及预测神经学转归很有帮助。3名儿童死亡，另外12名儿童有严重的神经后遗症。其他5名儿童有较轻程度的缺陷；1名失访。3名儿童在随访时神经功能正常。这些儿童中有2名兄弟姐妹死于虐待儿童，这表明有必要持续干预受虐儿童家庭以防止进一步虐待。
