Mild head trauma in children: When is a roentgenogram Necessary.
Mild head trauma in children: When is a roentgenogram Necessary.
复制标题
儿童轻度头部外伤：何时需要 X 线检查。
DOI：
10.1542/peds.69.2.139
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发表时间：
1982
期刊：
影响因子：
8
通讯作者：
Stephen G. Pauker
中科院分区：
文献类型：
--
作者：
John C. Leonidas;Windsor Ting;A. Binkiewicz;Rosalind Vaz;R. Scott;Stephen G. Pauker
回顾了354名在21/2年期间因头部创伤接受颅骨x线摄影的婴儿和儿童，发现骨折发生率低（4.2%），无严重颅内并发症。除一例手术后颅骨凹陷性骨折升高的患者外，其他患者均未因发现骨折而改变治疗方法。因此，在大多数儿童遭受的通常轻微的头部创伤中，常规的颅骨x线摄影是无效的。为了有效地利用资源，有必要根据临床标准选择患者进行颅骨x线摄影。然而，先前为成人患者定义的标准在儿童中不太有用。在本研究的基础上，确定了额外的标准，以便在轻度头部创伤的儿童中检测骨折，大大减少了累积成本和辐射暴露。然而，检测颅骨骨折的临床重要性仍不确定。
Review of 354 infants and children who had skull roentgenography for head trauma over a 21/2-year period revealed a low incidence of fractures (4.2%) and no serious intracranial complications. With the exception of one patient with an elevated surgically depressed skull fracture, treatment was not changed because of the detection of a fracture. Thus, in the usually mild head trauma sustained by most children, routine skull roentgenography is inefficient. To make efficient use of resources, clinical criteria are necessary to select patients for skull roentgenography. Criteria previously defined for adult patients are, however, less useful in children. On the basis of the present study, additional criteria were identified so that fractures may be detected among children with mild head trauma, at much reduced cumulative cost and exposure to radiation. Nevertheless, the clinical importance of detection of skull fractures remains uncertain.