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1
How long do we need to observe head injuries in hospital?我们需要在医院观察头部损伤多长时间？
Arch Dis Child. 1984 Sep;59(9):856-9. doi: 10.1136/adc.59.9.856.
2
Acute traumatic intracranial haematoma without skull fracture.无颅骨骨折的急性创伤性颅内血肿
Lancet. 1976 Mar 6;1(7958):501-3. doi: 10.1016/s0140-6736(76)90292-0.
3
Neurosurgical complications after apparently minor head injury. Assessment of risk in a series of 610 patients.轻度头部损伤后的神经外科并发症。对610例患者的风险评估。
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Intracerebral haemorrhage in closed head injury.闭合性颅脑损伤中的脑出血
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6
Studies on the diagnosis and surgical treatment of intracranial hemorrhage due to head injuries.头部损伤所致颅内出血的诊断与外科治疗研究
Tokushima J Exp Med. 1967 Nov;14(3):63-75.
7
Risk factors in traumatic head injury.
Acta Neurochir (Wien). 1983;69(1-2):15-21. doi: 10.1007/BF02055848.
8
[Selective indications of skull radiography after head injury in children].[儿童头部损伤后颅骨X线摄影的选择性指征]
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引用本文的文献

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Can we abolish skull x rays for head injury?对于头部受伤，我们能否取消颅骨X光检查？
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5
Relative risk of deterioration after mild closed head injury.轻度闭合性颅脑损伤后病情恶化的相对风险。
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Short stay facilities: the future of efficient paediatric emergency services.短期停留设施：高效儿科急诊服务的未来。
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Short-stay facilities in accident and emergency departments for children.急诊科为儿童提供的短期住院设施。
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Head injuries in children: need for guidelines on initial management.儿童头部损伤：初始处理指南的必要性
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10
Management of children with head injuries in district general hospitals.地区综合医院中儿童头部损伤的管理。
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本文引用的文献

1
Admission after mild head injury: benefits and costs.轻度头部受伤后的入院治疗：益处与成本。
Br Med J (Clin Res Ed). 1982 Nov 27;285(6354):1530-2. doi: 10.1136/bmj.285.6354.1530.
2
Risks of intracranial haematoma in head injured adults.头部受伤成年人颅内血肿的风险
Br Med J (Clin Res Ed). 1983 Oct 22;287(6400):1173-6. doi: 10.1136/bmj.287.6400.1173.
3
Extradural hematoma. Report of 167 cases.硬膜外血肿。167例报告。
J Neurosurg. 1968 Jul;29(1):13-23. doi: 10.3171/jns.1968.29.1.0013.
4
The significance of skull fractures in children. A study of 1,187 patients.儿童颅骨骨折的意义。对1187例患者的研究。
Radiology. 1971 Oct;101(1):151-6. doi: 10.1148/101.1.151.
5
Head injuries in children.儿童头部损伤
Br Med J. 1972 Oct 28;4(5834):200-3. doi: 10.1136/bmj.4.5834.200.
6
Head injuries in children.儿童头部损伤
Dev Med Child Neurol. 1972 Apr;14(2):137-47. doi: 10.1111/j.1469-8749.1972.tb02571.x.
7
Accidental head injury in childhood.儿童期意外头部损伤。
Arch Dis Child. 1974 May;49(5):376-81. doi: 10.1136/adc.49.5.376.
8
Avoidable factors contributing to death after head injury.头部损伤后导致死亡的可避免因素。
Br Med J. 1977 Sep 3;2(6087):615-8. doi: 10.1136/bmj.2.6087.615.
9
Head injury and admission policy.头部损伤与入院政策。
Lancet. 1979 Mar 10;1(8115):552. doi: 10.1016/s0140-6736(79)90970-x.

我们需要在医院观察头部损伤多长时间？

How long do we need to observe head injuries in hospital?

作者信息

Sainsbury C P, Sibert J R

出版信息

Arch Dis Child. 1984 Sep;59(9):856-9. doi: 10.1136/adc.59.9.856.

DOI:10.1136/adc.59.9.856
PMID:6486862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1628722/
Abstract

Between 1974 and 1981, 28 701 children in Wales were admitted to hospital for observation after an injury to the head. Only 22 of 35 who subsequently developed intracranial haemorrhage, presented for examination within 24 hours of the injury. All of these patients had symptoms or signs clearly needing continued observation or treatment six hours after the injury. Many children who are currently admitted to hospital could safely be discharged after a limited period of observation.

摘要

1974年至1981年间，威尔士有28701名儿童因头部受伤入院观察。在随后发生颅内出血的35名儿童中，只有22名在受伤后24小时内就诊检查。所有这些患者在受伤6小时后都有明显需要继续观察或治疗的症状或体征。目前许多入院的儿童在经过有限时间的观察后可以安全出院。