颅内病变和头部外伤原因与婴幼儿视网膜出血的相关性：J-HITs（日本婴幼儿头部外伤研究）组的一项多中心回顾性研究。
Correlations of intracranial pathology and cause of head injury with retinal hemorrhage in infants and toddlers: A multicenter, retrospective study by the J-HITs (Japanese Head injury of Infants and Toddlers study) group.
机构信息
Department of Neurosurgery, Aichi Children's Health and Medical Center, Aichi, Japan.
Department of Neurosurgery, Kansai Medical University, Osaka, Japan.
出版信息
PLoS One. 2023 Mar 17;18(3):e0283297. doi: 10.1371/journal.pone.0283297. eCollection 2023.
INTRODUCTION
In infants who have suffered head trauma there are two possible explanations for retinal hemorrhage (RH): direct vitreous shaking and occurrence in association with intracranial lesions. Which possibility is more plausible was examined.
MATERIAL AND METHODS
This multicenter, retrospective study reviewed the clinical records of children younger than four years with head trauma who had been diagnosed with any findings on head computed tomography (CT) and/or magnetic resonance imaging (MRI). Of 452 cases, 239 underwent an ophthalmological examination and were included in this study. The relationships of RH with intracranial findings and the cause of injury were examined.
RESULT
Odds ratios for RH were significant for subdural hematoma (OR 23.41, p = 0.0004), brain edema (OR 5.46, p = 0.0095), nonaccidental (OR 11.26, p<0.0001), and self-inflicted falls (OR 6.22, p = 0.0041).
CONCLUSION
Although nonaccidental, brain edema and self-inflicted falls were associated with RH, subdural hematoma was most strongly associated with RH.
简介
在头部受伤的婴儿中，视网膜出血（RH）有两种可能的解释：直接玻璃体震动和与颅内病变有关。哪种可能性更合理，对此进行了检查。
材料和方法
这项多中心、回顾性研究回顾了年龄小于 4 岁的头部受伤儿童的临床记录，这些儿童的头部计算机断层扫描（CT）和/或磁共振成像（MRI）有任何发现。在 452 例中，有 239 例行眼科检查，并纳入本研究。检查了 RH 与颅内发现和损伤原因的关系。
结果
RH 与硬膜下血肿（OR 23.41，p = 0.0004）、脑水肿（OR 5.46，p = 0.0095）、非意外（OR 11.26，p < 0.0001）和自我伤害性跌倒（OR 6.22，p = 0.0041）的相关性有统计学意义。
结论
虽然非意外、脑水肿和自我伤害性跌倒与 RH 相关，但硬膜下血肿与 RH 的相关性最强。
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