患有形创伤性脑损伤和内出血的婴儿应该进行例行重复成像吗?
E Patricia Engel1, Bradon Bitter1, Jared Reyes1
1Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS.
Kansas journal of medicine
|June 7, 2023
概括
重复头部CT扫描在创伤性头部损伤的婴儿中很常见和有用. 这些扫描可以揭示出更严重的出血,并导致管理的变化,影响患者的护理.
科学领域:
- 儿科创伤学 儿科创伤学
- 神经辐射学神经辐射学
背景情况:
- 在婴儿中重复头部CT成像并未得到充分的研究.
- 婴儿代表了用于头部CT分析的独特人群.
研究的目的:
- 为了评估婴儿重复头部CT扫描的发生率.
- 在这个人群中评估重复头部CT扫描的临床实用性.
主要方法:
- 对50名头部受伤的婴儿进行了回顾性评估.
- 数据提取包括伤害细节,CT发现,神经状态和干预措施.
主要成果:
- 68%的婴儿接受了至少一次重复头部CT.
- 26%的重复扫描显示出出血进展.
- 在近25%的病例中,重复CT导致管理变化,包括手术干预.
结论:
- 重复头部CT成像在婴儿中受到支持,因为它对管理的影响.
- 与老年患者相比,婴儿更频繁地发生管理方面的变化.
- 需要进一步的研究来验证这些发现.
相关概念视频
01:14Imaging Studies I: CT and MRI
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
01:28Traumatic Brain Injury l: Introduction
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...