3个月以下的头骨骨折的婴儿的介绍,评估和结果
Katherine Mandeville1, John Naheedy2, Zaineb Boulil3
1Department of Pediatrics, UCSD School of Medicine, Rady Children's Hospital, Division of Emergency Medicine, San Diego, California.
The Journal of emergency medicine
|June 18, 2025
概括
头骨骨折的婴儿,即使是轻微伤害,也经常有内出血 (ICH). 超过四分之一的这些病例需要对非意外创伤 (NAT) 进行评估,这凸显了在这个年龄组中需要仔细评估的必要性.
科学领域:
- 儿科创伤学 儿科创伤学
- 神经创伤是一种神经创伤.
- 儿童虐待 儿科 儿科
背景情况:
- 婴儿头部受伤很常见,难以诊断.
- 微妙的伤害机制可能会导致严重的后果.
- 非意外创伤 (NAT) 的风险使评估复杂化.
研究的目的:
- 评估头骨骨折的婴儿的临床表现,评估和结果.
- 确定这些婴儿内出血 (ICH) 的发生率.
- 分析与ICH和结果相关的因素.
主要方法:
- 对291名头骨骨折的婴儿进行了回顾性图表审查.
- 通过计算机断层扫描 (CT) 成像和ICD代码收集的数据.
- 对临床发现,损伤机制和结果的分析.
主要成果:
- 大多数婴儿 (80%) 报告跌倒;83%出现头皮血瘤.
- 内出血 (ICH) 在55%的病例中发生.
- 儿童福利评估很常见 (64%),特别是在ICH (p < 0.001).
结论:
- 头骨骨折的3个月以下的婴儿尽管有轻微的伤害机制,但往往有ICH.
- 微妙的症状是常见的,需要临床警.
- 近四分之一的病例需要进行非意外创伤 (NAT) 评估.
相关概念视频
Overview of the Skull
5.4K
The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
5.4K
Sutures of the Skull
7.8K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
7.8K
Fractures: Bone Repair
3.7K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.7K
Cranial Bones: Superior and Posterior View
2.9K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
2.9K


