临床上显著的潜在病因的预测者在儿童呈现的状
Matan Shemer1,2, Shai Noyman2, Ayelet Rimon2,3
1Department of Pediatric, Dana Dwek Children Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Paediatrics & child health
|March 13, 2026
概括
六分之一的儿童呈现Torticollis的儿科急诊室有一个严重的潜在条件. 这凸显了在儿科托尔科利斯病例中需要一个结构化的,以症状为导向的诊断方法.
科学领域:
- 儿科急救医学 儿科急救医学
- 儿科神经学 儿科神经学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 脊柱炎是儿童急诊室访问的常见原因之一.
- 虽然经常是良性的,但尾可以表明严重的潜在病理.
- 及时诊断对于有效管理至关重要.
研究的目的:
- 为了确定临床上有意义的诊断的发病率,在儿童呈现与torticollis.
- 确定关键指标与严重的基础条件相关的儿童结症.
主要方法:
- 对18岁以下儿童呈现结症的回顾性评估.
- 在特拉维夫Sourasky医疗中心从2018-2023年收集的数据.
- 主要结局:确定感染病因,瘤或亚特兰轴旋转固定 (AARF).
主要成果:
- 在352名儿童中,有17%的儿童有显著的诊断:感染原因 (59%),AARF (30%) 和瘤 (10%).
- 感染病例是较年轻的,发烧的,具有高C反应蛋白.
- 与老年相关的AARF,长时间的症状,中线疼痛和运动受限.
结论:
- 大约17%的儿科托尔科利斯病例涉及严重的潜在疾病.
- 一种结构化,以症状为导向的诊断方法对于儿科结症至关重要.
- 早期识别红旗有助于对危急情况及时进行干预.
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