The shaken baby syndrome: diagnosis using CT and MRI.
The shaken baby syndrome: diagnosis using CT and MRI.
复制标题
摇晃婴儿综合症：使用 CT 和 MRI 进行诊断。
作者：
L. Cox
头部受伤是1岁以下婴儿死亡的主要原因，其中许多伤害是儿童虐待的结果。剧烈摇晃是虐待儿童的一种形式，会导致严重的头部创伤，尤其是对婴儿。这种伤害模式被称为摇晃婴儿综合症（SBS）。虽然SBS可以造成严重的损伤，如视网膜出血或硬膜下血肿，但由于SBS通常没有留下滥用的外部证据，因此很难诊断。本文回顾了与SBS相关的最常见的颅脑损伤，描述了每种损伤的机制，并介绍了临床症状和体征。它还研究了使用计算机断层扫描和磁共振成像来诊断与SBS相关的头部创伤。
Head injuries are the leading cause of death in infants younger than 1 year old, and many of these injuries are the result of child abuse. Violent shaking is a form of child abuse that can cause severe head trauma, particularly to infants. This pattern of injuries is known as shaken baby syndrome (SBS). Although SBS can cause serious injuries such as retinal hemorrhage or subdural hematoma, it is difficult to diagnose because SBS often leaves no external evidence of abuse. This article reviews the most common cranial injuries associated with SBS, describes the mechanism of each injury and presents clinical signs and symptoms. It also investigates the use of computed tomography and magnetic resonance imaging to diagnose head trauma associated with SBS.