On the theory and practice of shaking infants. Its potential residual effects of permanent brain damage and mental retardation.

On the theory and practice of shaking infants. Its potential residual effects of permanent brain damage and mental retardation.
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摇晃婴儿的理论与实践。

DOI:
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发表时间:
1972
期刊:
A M A Journal of Diseases of Children
影响因子:
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通讯作者:
J. Caffey
J. Caffey
中科院分区:
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文献类型:
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作者:
J. Caffey

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在 1946 年关于父母-婴儿应激综合症 (PITS) 或受虐婴儿综合症的第一次现代讨论中,我描述了 6 名 13 个月或更小的婴儿,他们患有硬膜下血肿和特征性骨病变。1在过去 25 年中2-5逐渐积累了明显和间接的大量证据,表明受虐婴儿的挥鞭式摇晃和抽搐也是骨骼损伤的常见原因。如脑血管病变;后者是最严重的急性并发症,也是迄今为止最常见的过早死亡原因。 6 今天,我们请您注意支持我们观点的证据,即婴儿的挥鞭式摇动和抽搐通常是致病性的,并且常常会对婴儿的大脑和眼睛造成严重的永久性损伤。我们还应指出,潜在致病性的鞭子抖动通常以多种方式进行,在广泛的范围内。
In the first modern discussion in 1946 of the parent-infant stress syndrome (PITS), or battered baby syndrome, I described six infants, 13 months or younger, who suffered from the combination of subdural hematomas and characteristic bone lesions.1During the last 25 years2-5substantial evidence, both manifest and circumstantial, has gradually accumulated which suggests that the whiplash-shaking and jerking of abused infants are common causes of the skeletal as well as the cerebrovascular lesions; the latter is the most serious acute complication and by far the most common cause of early death.6 Today we invite your attention to the evidence which supports our concept that the whiplash-shaking and jerking of infants are frequently pathogenic and often result in grave permanent damage to infantile brains and eyes. We shall also point out that potentially pathogenic whip-lash-shaking is practiced commonly in a wide variety of ways, under a wide