儿童意识障碍：评估、治疗和预后。
Disorders of Consciousness in Children: Assessment, Treatment, and Prognosis.
机构信息
Kennedy Krieger Institute, 707 North Broadway, Balitmore, MD 21205, USA; Department of Psychiatry and Behavioral Health, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21205, USA; Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21205, USA.
Kennedy Krieger Institute, 707 North Broadway, Balitmore, MD 21205, USA; Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21205, USA; Departments of Pediatrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21205, USA.
出版信息
Phys Med Rehabil Clin N Am. 2024 Feb;35(1):223-234. doi: 10.1016/j.pmr.2023.06.012. Epub 2023 Jul 11.
Children with acquired brain injury may experience prolonged disorders of consciousness (DoC); research on children with DoC lags behind adult literature. Rigorous evaluation of assessment tools used in children with DoC is lacking, though recent developments may contribute to improvements in care, particularly for assessment of young children and those without overt command following. Literature on prognosis continues to grow, reinforcing that early signs of consciousness suggest better long-term outcome. Although large clinical trials for children with DoC are lacking, single-site and multisite programmatic data inform standards of care and treatment options for children with DoC.
患有获得性脑损伤的儿童可能会经历长时间的意识障碍（DoC）；与成人文献相比，对患有 DoC 的儿童的研究相对较少。尽管最近的发展可能有助于改善护理，特别是对于年幼儿童和没有明显指令跟随的儿童的评估，但对于在患有 DoC 的儿童中使用的评估工具的严格评估仍缺乏。预后方面的文献不断增加，这表明早期意识迹象预示着更好的长期结果。尽管缺乏针对患有 DoC 的儿童的大型临床试验，但单站点和多站点的计划数据为患有 DoC 的儿童的护理标准和治疗选择提供了信息。
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