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急诊室中一名儿童经双侧创伤性硬膜下积液穿刺抽吸后格拉斯哥昏迷评分立即改善。

Immediate improvement in GCS following needle aspiration of bilateral traumatic subdural effusion in a child in emergency room.

作者信息

Khizar Ahtesham, Kumar Yadav Pradhumna

机构信息

Department of Neurosurgery Pakistan Institute of Medical Sciences Islamabad Pakistan.

Department of Neurosurgery Janaki Health Care and Research Center Janakpur Nepal.

出版信息

Clin Case Rep. 2022 Aug 8;10(8):e6205. doi: 10.1002/ccr3.6205. eCollection 2022 Aug.

DOI:10.1002/ccr3.6205
PMID:35957768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9360344/
Abstract

A minor head injury can cause traumatic subdural effusion in a child. They often present to pediatric emergencies initially, and there is a delayed referral to neurosurgery. In the emergency room, they should undergo subdural effusion needle aspiration, which can result in an immediate improvement in GCS.

摘要

小儿轻微头部损伤可导致创伤性硬膜下积液。他们最初常就诊于儿科急诊，且神经外科转诊延迟。在急诊室，应进行硬膜下积液穿刺抽吸，这可使格拉斯哥昏迷评分（GCS）立即改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58e/9360344/85160bcb2d2d/CCR3-10-e6205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58e/9360344/a7ef53d01319/CCR3-10-e6205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58e/9360344/85160bcb2d2d/CCR3-10-e6205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58e/9360344/a7ef53d01319/CCR3-10-e6205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58e/9360344/85160bcb2d2d/CCR3-10-e6205-g002.jpg

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本文引用的文献

1
Treatment of patients with traumatic subdural effusion and concomitant hydrocephalus.外伤性硬脑膜下积液伴脑积水患者的治疗。
J Neurosurg. 2012 Mar;116(3):558-65. doi: 10.3171/2011.10.JNS11711. Epub 2011 Dec 16.
2
Traumatic subdural effusions in children following minor head injury.儿童轻度头部损伤后的创伤性硬膜下积液
Childs Nerv Syst. 2008 Dec;24(12):1391-6. doi: 10.1007/s00381-008-0645-1. Epub 2008 May 31.