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具有完整神经功能的小儿穿透性脑损伤:铅笔和玩具轮致伤的两例报告

Pediatric penetrating brain injuries with intact neurological function: Two case reports of a pencil and a toy wheel encounter.

作者信息

Shaukat Shuja, Zaidi Syeda Mahrukh Fatima, Shah Irfan Ali, Siddiqui Mishal Shan, Ali Farhad, Ayesha Shabih, Khatri Adil, Ansari Abdul Basit, Khan Atiq Ahmed

机构信息

Department of Neurosurgery, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, Pakistan.

Dow University of Health Sciences, Karachi, Pakistan.

出版信息

SAGE Open Med Case Rep. 2024 Jul 24;12:2050313X241266477. doi: 10.1177/2050313X241266477. eCollection 2024.

Abstract

Accidental injuries in the pediatric population are common. The response to injury also differs owing to anatomical and physiological differences in children. While such injuries carry a risk of lifelong morbidity, some cases may follow a benign course despite their distressing appearance. We report two cases of accidentally incurred penetrating trauma in the pediatric population with unusual objects, including a pencil and a toy wheel. Despite their intracranial extension, neither of the patients exhibited any discernible neurological deficits. Penetrating brain injuries require early removal and meticulous perioperative care to minimize the risk of long-term adverse neurological events in children.

摘要

小儿意外受伤很常见。由于儿童在解剖学和生理学上的差异,对损伤的反应也有所不同。虽然此类损伤有导致终身发病的风险,但有些病例尽管外观令人担忧,却可能呈良性病程。我们报告两例小儿意外遭受异物穿透伤的病例,异物包括一支铅笔和一个玩具轮。尽管损伤延伸至颅内,但两名患者均未出现任何明显的神经功能缺损。小儿穿透性脑损伤需要早期取出异物并进行细致的围手术期护理,以将长期不良神经事件的风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ed/11271157/0d43a66bf1e5/10.1177_2050313X241266477-fig1.jpg

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