Coody D, Brown M, Montgomery D, Flynn A, Yetman R
J Pediatr Health Care. 1994 Mar-Apr;8(2):50-6. doi: 10.1016/s0891-5245(07)80003-4.
Shaken baby syndrome is a less widely recognized form of physical child abuse. It is defined as vigorous manual shaking of an infant who is being held by the extremities or shoulders, leading to whiplash-induced intracranial and intraocular bleeding and no external signs of head trauma; often identifying shaken baby syndrome is difficult because of the lack of obvious external signs. Shaken baby syndrome should be considered in infants with seizures, failure to thrive, vomiting associated with lethargy or drowsiness, respiratory irregularities, coma, or death. With the increased awareness of child abuse, more attention has been focused on morbidity and death caused by the violent shaking of infants. This article describes the clinical findings of shaken baby syndrome, explores the characteristics of families at risk for abuse, and discusses implications for nurse practitioners.
摇晃婴儿综合征是一种较少被广泛认知的儿童身体虐待形式。它被定义为对一名由四肢或肩部抱持的婴儿进行剧烈手动摇晃，导致因挥鞭样损伤引起的颅内和眼内出血且无头部外伤的外部迹象；由于缺乏明显的外部迹象，摇晃婴儿综合征往往难以识别。对于出现癫痫发作、发育不良、伴有嗜睡或昏睡的呕吐、呼吸不规则、昏迷或死亡的婴儿，应考虑摇晃婴儿综合征。随着对儿童虐待问题认识的提高，更多关注集中在了因暴力摇晃婴儿导致的发病和死亡情况。本文描述了摇晃婴儿综合征的临床发现，探讨了有虐待风险家庭的特征，并讨论了对执业护士的启示。
