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解决中低收入国家医疗疏忽问题:尼日利亚对摇晃婴儿综合征提及甚少;原因、挑战和建议。

Addressing the oversight medical cases in low-middle-income countries: poor mention of shaken baby syndrome in Nigeria; reasons, challenges, and recommendations.

机构信息

Faculty of Basic Medical Sciences, University of Ilorin, Ilorin, Nigeria.

Faculty of Basic Clinical Sciences, University of Ilorin, Ilorin, Kwara, Nigeria.

出版信息

Childs Nerv Syst. 2024 Nov;40(11):3765-3770. doi: 10.1007/s00381-024-06624-0. Epub 2024 Oct 1.

DOI:10.1007/s00381-024-06624-0
PMID:39352520
Abstract

INTRODUCTION

Shaken baby syndrome (SBS) is a severe form of child abuse that results in a triad of clinical findings: subdural hematoma, retinal hemorrhages, and encephalopathy. These injuries can lead to significant brain damage, developmental delays, disabilities, or even death. In addition to these, other indicative signs include bruises, vomiting, full fontanelles, sleepiness, seizures, and fractures.

METHODS

This paper reviews the existing literature on SBS in Nigeria, identifies the challenges contributing to its underrecognition, and provides evidence-based recommendations for improving diagnosis, management, and prevention strategies in the region.

CONCLUSIONS

Despite the profound impact of SBS, its recognition and management are inadequate, particularly in low- and middle-income countries (LMICs) like Nigeria, due to limited diagnostic capabilities and documentation. Addressing these gaps is crucial for safeguarding the well-being of infants and young children in Nigeria.

摘要

简介

摇晃婴儿综合征(SBS)是一种严重的儿童虐待形式,导致三联征的临床发现:硬膜下血肿、视网膜出血和脑病。这些损伤可导致严重的脑损伤、发育迟缓、残疾,甚至死亡。除此之外,其他指示性症状包括瘀伤、呕吐、饱满的囟门、嗜睡、癫痫发作和骨折。

方法

本文综述了尼日利亚 SBS 的现有文献,确定了导致其识别不足的挑战,并为改善该地区的诊断、管理和预防策略提供了循证建议。

结论

尽管 SBS 影响深远,但由于诊断能力和记录有限,其识别和管理在尼日利亚等低收入和中等收入国家(LMICs)仍然不足。解决这些差距对于保护尼日利亚婴儿和幼儿的福祉至关重要。

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Addressing the oversight medical cases in low-middle-income countries: poor mention of shaken baby syndrome in Nigeria; reasons, challenges, and recommendations.解决中低收入国家医疗疏忽问题:尼日利亚对摇晃婴儿综合征提及甚少;原因、挑战和建议。
Childs Nerv Syst. 2024 Nov;40(11):3765-3770. doi: 10.1007/s00381-024-06624-0. Epub 2024 Oct 1.
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Shaken baby syndrome resulting in death: a case series.摇晃婴儿综合征致死:病例系列。
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Punitive Violence against Children: A Psychoeducational Parenting Program to Reduce Harsh Disciplining Practices and Child Beating in the Home.针对儿童的惩罚性暴力:一项心理教育育儿计划,旨在减少家庭中的严厉管教行为和殴打儿童行为。
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Parenting interventions to prevent violence against children in low- and middle-income countries in East and Southeast Asia: A systematic review and multi-level meta-analysis.
东亚和东南亚中低收入国家预防针对儿童暴力的养育干预措施:系统评价和多层次荟萃分析。
Child Abuse Negl. 2020 May;103:104444. doi: 10.1016/j.chiabu.2020.104444. Epub 2020 Mar 11.
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Basic training requirements for health care professionals who care for children.儿科医护人员基本培训要求。
Eur J Pediatr. 2018 Sep;177(9):1413-1417. doi: 10.1007/s00431-018-3150-x. Epub 2018 Apr 25.
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Insufficient evidence for 'shaken baby syndrome' - a systematic review.“摇晃婴儿综合征”证据不足——一项系统综述
Acta Paediatr. 2017 Jul;106(7):1021-1027. doi: 10.1111/apa.13760. Epub 2017 Mar 1.
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Effectiveness of a Statewide Abusive Head Trauma Prevention Program in North Carolina.北卡罗来纳州一项全州性虐待头部创伤预防计划的成效。
JAMA Pediatr. 2015 Dec;169(12):1126-31. doi: 10.1001/jamapediatrics.2015.2690.
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The Use of Ophthalmic Ultrasonography to Identify Retinal Injuries Associated With Abusive Head Trauma.利用眼科超声检查识别与虐待性头部创伤相关的视网膜损伤。
Ann Emerg Med. 2016 May;67(5):620-4. doi: 10.1016/j.annemergmed.2015.09.027. Epub 2015 Oct 17.
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Prevention of shaken baby syndrome: Never shake a baby.预防摇晃婴儿综合征:切勿摇晃婴儿。
Paediatr Child Health. 2004 May;9(5):319-21.
9
Shaken baby syndrome in Canada: clinical characteristics and outcomes of hospital cases.加拿大的摇晃婴儿综合征:医院病例的临床特征与转归
CMAJ. 2003 Jan 21;168(2):155-9.
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Shaken baby syndrome.摇晃婴儿综合征
Postgrad Med J. 2002 Dec;78(926):732-5. doi: 10.1136/pmj.78.926.732.