頁籤選單縮合
題 名 | Shaken Baby Syndrome=嬰兒搖晃症候群 |
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作 者 | 羅永欽; 張迪生; 郭泰宏; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 14:2 1998.02[民87.02] |
頁 次 | 頁112-116 |
分類號 | 417.517 |
關鍵詞 | 嬰兒搖晃症候群; Shaken baby syndrome; Subdural hematoma; Head injury; |
語 文 | 英文(English) |
中文摘要 | 本文回顧十四例嬰兒搖晃症候群之病例。病人常見的症狀為癲�部A呼吸困難及昏迷。這些症狀無法與感染、中毒、癲癇症候群及代謝異常做區分。腦部電腦斷層及磁振造影可確定診斷。其中以急性硬腦膜下出血最為常見,其他包括慢性硬腦膜下血腫及蜘蛛網膜下腔出血。有一位嬰兒因延誤送醫而死亡,有五位病人因腦部受損而有較嚴重的後遺症:如發育較遲緩、癲癇、運動功能缺損及視力障礙。迅速診斷及早期治療方能成功的處理此類病例,經由提高眾人的警覺性及教育父母不要搖晃嬰兒方可減少此類病例的發生。 |
英文摘要 | Fourteen cases of shaken baby syndrome seen between 1993 to 1997 at the Kaohsiung Medical College Hospital were reviewed. The common clinical presentations were seizure, respiratory problem and disturbed consciousness. The signs and symptoms of this form of head trauma were nonspecific. The findings may mimic infection, intoxication, seizure disorder or metabolic abnormalities. The CT scan is the most common diagnostic tool in cases of suspected shaken baby syndrome. The common CT findings were acute subdural hematoma followed by chronic subdural hematoma and subarachnoid hemorrhage. One infant died due to delay in seeking medical help. Five patients sustained significant morbidity which included developmental delay, seizure, motor deficit and visual impairment. Early recognition and prompt treatment were key to the overall success of case management. The incidence of shaken baby syndrome can be reduced through public awareness and education of the parents not to shake the baby. |
本系統中英文摘要資訊取自各篇刊載內容。