Adelson P D, Kochanek P M
Department of Pediatric Neurosurgery, Children's Hospital of Pittsburgh, and University of Pittsburgh, PA 15213-2583, USA.
J Child Neurol. 1998 Jan;13(1):2-15. doi: 10.1177/088307389801300102.
Trauma in the United States is the leading cause of death and disability in the pediatric population. Differences of age and development affect recovery and outcome following head injury. Mechanisms and pathophysiology of head injury are varied in both the pediatric and adult populations. Assessments of injury are varied and some measurements are more sensitive than others as well as more specific with regard to certain types of injury. Treatment and management should be tailored to each case in order to effect a positive outcome with respect to brain functioning. Aggressive intervention for prevention of primary and secondary injury must be continued and understanding of the impact of these injuries should provide for a brighter future for these patients.
在美国，创伤是儿童群体死亡和残疾的主要原因。年龄和发育差异会影响头部受伤后的恢复和预后。儿童和成人群体中头部损伤的机制和病理生理学各不相同。损伤评估方法多样，一些测量方法比其他方法更敏感，对于某些类型的损伤也更具特异性。治疗和管理应根据具体病例进行调整，以便在脑功能方面取得积极的结果。必须继续积极干预以预防原发性和继发性损伤，对这些损伤影响的了解应为这些患者带来更光明的未来。
