Imaging the infant with a head injury: a single-centre retrospective study

被引:0
|
作者
Braunold, Daniel [1 ]
Lewis, Hannah [1 ]
O'Neill, Breda [2 ]
Edmonds, Naomi [3 ]
机构
[1] Barts & London NHS Trust, Anaesthesia, London, England
[2] Royal London Hosp, Paediat Anaesthesia, London, England
[3] Royal London Hosp, Paediat Intens Care, London, England
关键词
child abuse; neuropathology;
D O I
10.1136/bmjpo-2020-000779
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Head injury is the largest cause of mortality in paediatric trauma. Infants (<1 year old) are a high-risk group and vulnerable to non-accidental injury. A single-centre retrospective study at a major trauma centre collected data on infants presenting with a head injury over a 48-month period. 1127 infants presented with a head injury. 135 CT heads were performed. 38% of scans showed intracranial pathology. The decision about which infants to send for CT scans remains complex. Liberal use risks over-exposure to ionising radiation while restrictive use may miss subtler injuries.
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页数:2
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