Rivara F P
Dev Med Child Neurol. 1984 Feb;26(1):81-7. doi: 10.1111/j.1469-8749.1984.tb04410.x.
The spectrum of children's head trauma, excluding that caused by motor vehicles and child abuse, was investigated by examining 197,561 injuries treated in hospital emergency rooms during 1978. Such injuries accounted for 11 per cent of emergency-room visits. Preschool children had the highest rate of head injury, and among infants under one year these injuries accounted for 40 per cent of the total injuries treated in emergency rooms. Concussion occurred in one-fifth of adolescent cases. Fractures occurred in a relatively small percentage, but infants under one year had the highest rate (6 per cent). Most injuries to younger children occurred at home; among older children they occurred most often during sporting or recreational activities. The implications of these findings for preventive efforts are discussed.
通过对1978年医院急诊室治疗的197,561例损伤进行检查，对排除机动车事故和虐待儿童所致之外的儿童头部创伤范围进行了调查。此类损伤占急诊室就诊人数的11%。学龄前儿童头部受伤率最高，在一岁以下婴儿中，此类损伤占急诊室治疗的全部损伤的40%。五分之一的青少年病例发生脑震荡。骨折发生率相对较低，但一岁以下婴儿发生率最高（6%）。年幼儿童的大多数损伤发生在家中；年龄较大儿童的损伤最常发生在体育或娱乐活动期间。讨论了这些发现对预防工作的意义。
