儿童头部计算机断层扫描：在门诊机构进行1024次扫描的经验

Computed tomography of the head in children: experience with 1024 scans performed in an outpatient facility.

作者信息

Eelkema H H, Levitan L H, Leach C G, Damberg S W, Moore J S, Williams H J, Saxena K M

机构信息

United and Children's Hospital, St. Paul, Minnesota.

出版信息

Comput Tomogr. 1977;1(4):313-21. doi: 10.1016/0363-8235(77)90015-1.

DOI:10.1016/0363-8235(77)90015-1

PMID:401047

Abstract

Our experience in 1,024 computed tomography examinations of the head in 954 infants and children performed in a private office is reported. Immobilization in infants was achieved using relatively large dosages of chloral hydrate (as high as 75 mg/kg) supplemented, when necessary, by I.M. Benadryl. The usual dose of chloral hydrate recommended for children is 25 mg/kg as a sedative and 50 mg/kg as a hypnotic. Satisfactory immobilization was accomplished in 350 of the 360 children under 6 years of age. Thus, routine general anesthesia was avoided. The wide spectrum of conditions demonstrated has been tabulated and selectively illustrated.

摘要

报告了在私人诊所对954名婴幼儿和儿童进行1024次头部计算机断层扫描检查的经验。对婴儿使用相对大剂量的水合氯醛（高达75毫克/千克）进行固定，必要时辅以肌内注射苯海拉明。推荐给儿童的水合氯醛常用剂量为镇静剂时25毫克/千克，催眠剂时50毫克/千克。360名6岁以下儿童中有350名实现了满意的固定。因此，避免了常规全身麻醉。已将所显示的广泛病症列表并进行了选择性说明。