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[一名3周大婴儿因摇晃导致创伤后重度脑震荡的超声随访]

[Sonographic follow-up of pronounced brain concussion in a 3-week-old infant following trauma caused by shaking].

作者信息

Mühler E

出版信息

Klin Padiatr. 1986 Jan-Feb;198(1):49-52. doi: 10.1055/s-2008-1026852.

DOI:10.1055/s-2008-1026852
PMID:3959488
Abstract

Cerebral sonography was performed in a 3 week old whiplash shaken baby who had no external marks of injury and no skull fracture. On the day of admission, increased echogenicity in the white matter could be correlated with hypodense contusional lesions in the cranial computerized tomography. Sonographic follow-up showed multiple cystic defects in the white matter and later on marked dilatation of the adjacent lateral ventricle. In all infants with open anterior fontanel presenting with unexplained clouding of consciousness and/or external marks of child abuse, cerebral sonography should be a basic diagnostic method.

摘要

对一名3周大的患挥鞭样摇晃综合征的婴儿进行了脑部超声检查,该婴儿无外伤的外部痕迹且无颅骨骨折。入院当天,脑白质回声增强与头颅计算机断层扫描显示的低密度挫伤性病变相关。超声随访显示脑白质有多个囊性缺损,随后相邻侧脑室明显扩张。对于所有前囟未闭且出现不明原因意识模糊和/或虐待儿童外部痕迹的婴儿,脑部超声检查应作为一种基本的诊断方法。

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Klin Padiatr. 1986 Jan-Feb;198(1):49-52. doi: 10.1055/s-2008-1026852.
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