Nevo Y, Jurgenson U, Harel S
Institute for Child Development, Beit Habriut Strauss, Tel-Aviv, Israel.
Dev Med Child Neurol. 1994 Jun;36(6):545-7. doi: 10.1111/j.1469-8749.1994.tb11885.x.
Although most bruits heard over the skull in children are innocent, they might represent the sign of a treatable intracranial vascular pathology. Nevertheless, cranial auscultation is not routinely carried out during physical examination at a young age. Two children with vascular malformations are described in whom a cranial murmur was an early sign of intracranial vascular pathology. Routine cranial auscultation during physical examination of children is recommended.
虽然儿童颅骨听诊闻及的大多数杂音是无害的,但它们可能代表可治疗的颅内血管病变的体征。然而,在幼儿体格检查时通常不会常规进行颅骨听诊。本文描述了两名患有血管畸形的儿童,其中颅内杂音是颅内血管病变的早期体征。建议在儿童体格检查时进行常规颅骨听诊。