婴儿硬膜下血肿及其与挥鞭样损伤的关系。
Infantile subdural haematoma and its relationship to whiplash injuries.
作者信息
Guthkelch A N
出版信息
Br Med J. 1971 May 22;2(5759):430-1. doi: 10.1136/bmj.2.5759.430.
Abstract
Subdural haematoma is one of the commonest features of the battered child syndrome, yet by no means all the patients so affected have external marks of injury on the head. This suggests that in some cases repeated acceleration/deceleration rather than direct violence is the cause of the haemorrhage, the infant having been shaken rather than struck by its parent. Such an hypothesis might also explain the remarkable frequency of the finding of subdural haemorrhage in battered children as compared with its incidence in head injuries of other origin, and the fact that it is so often bilateral.
摘要
硬膜下血肿是受虐儿童综合征最常见的特征之一，但绝非所有受此影响的患者头部都有外伤痕迹。这表明在某些情况下，反复的加速/减速而非直接暴力是出血的原因，婴儿是被其父母摇晃而非击打。这样的假设也可以解释与其他原因导致的头部损伤相比，受虐儿童硬膜下出血的发现频率显著较高，以及其常常双侧出现的事实。
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本文引用的文献
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Subdural effusions in infancy: 24 cases.婴儿期硬膜下积液：24例
Br Med J. 1953 Jan 31;1(4804):233-9. doi: 10.1136/bmj.1.4804.233.
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Remarks on subdural hematoma and aphasia.关于硬膜下血肿与失语症的论述
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Head injuries in children: a survey of 4465 consecutive cases at the hospital for sick children, Toronto, Canada.儿童头部损伤：对加拿大多伦多病童医院连续4465例病例的调查。
Clin Neurosurg. 1964;11:46-65. doi: 10.1093/neurosurgery/11.cn_suppl_1.46.
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Whiplash injury and brain damage: an experimental study.挥鞭伤与脑损伤：一项实验研究。
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