中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
Chinese Pediatric Emergency Medicine
2015年
10期
718-721
,共4页
儿童脑外伤%CT 检查%临床决策规则
兒童腦外傷%CT 檢查%臨床決策規則
인동뇌외상%CT 검사%림상결책규칙
Pediatric head injury%CT scans%Clinical decision rules
脑外伤是儿童主要创伤性疾病和致死、致残原因，儿童头部外伤大约40%~60%进行了头部 CT 检查，其中不到10%发生外伤性脑损伤。为减少儿童不必要的头部 CT 检查，国外研究主要有预测儿童头部损伤重要临床事件、儿科急救治疗应用研究网络和加拿大儿童头部外伤 X 线检查评估等临床决策规则，指导临床医生决策儿童轻型头部外伤后 CT 的应用，现就目前临床应用的主要临床决策规则进行综述。
腦外傷是兒童主要創傷性疾病和緻死、緻殘原因，兒童頭部外傷大約40%~60%進行瞭頭部 CT 檢查，其中不到10%髮生外傷性腦損傷。為減少兒童不必要的頭部 CT 檢查，國外研究主要有預測兒童頭部損傷重要臨床事件、兒科急救治療應用研究網絡和加拿大兒童頭部外傷 X 線檢查評估等臨床決策規則，指導臨床醫生決策兒童輕型頭部外傷後 CT 的應用，現就目前臨床應用的主要臨床決策規則進行綜述。
뇌외상시인동주요창상성질병화치사、치잔원인，인동두부외상대약40%~60%진행료두부 CT 검사，기중불도10%발생외상성뇌손상。위감소인동불필요적두부 CT 검사，국외연구주요유예측인동두부손상중요림상사건、인과급구치료응용연구망락화가나대인동두부외상 X 선검사평고등림상결책규칙，지도림상의생결책인동경형두부외상후 CT 적응용，현취목전림상응용적주요림상결책규칙진행종술。
Pediatric head injury is the leading cause of death and disability,about 40% to 60% of kids of head injury get a CT,and the majority are those with minor head injury,about 10% of these CT scans are positive.Clinical decision rules for pediatric head injury exist to identify children at risk of traumatic brain injury.Those of the highest quality are children's head injury algorithm for the prediction of important clinical events(CHALICE),Pediatric Emergency Care Applied Research Network(PECARN)and the Canadian as-sessment of tomography for childhood head injury(CATCH)clinical decision rules.This review aimed to systematically introduce primary clinical decision rules for children with minor head injury and compare them for diagnostic accuracy in detecting intracranial injury and injury requiring neurosurgery.
