新生儿先天性颅骨凹陷性骨折("乒乓 "骨折)作为身体虐待的鉴别诊断。

IF 0.7 4区 医学 Q4 PEDIATRICS Archivos argentinos de pediatria Pub Date : 2024-06-01 Epub Date: 2024-01-18 DOI:10.5546/aap.2023-10139.eng
Alicia Morikone, Juan Pablo Mouesca
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引用次数: 0

摘要

颅骨凹陷性骨折如果没有明确的原因,则可能是钝器造成的外伤,疑似虐待儿童。对于新生儿来说,年龄小是一个易受伤害的因素,需要进行详尽的评估。当怀疑有虐待儿童行为时,需要对鉴别诊断进行评估,以便尽可能采取最适当的干预措施。既要避免过度干预,也要避免遗漏必要的干预。被称为 "乒乓球骨折 "的先天性凹陷性颅骨骨折非常罕见(0.3 至 2/10 000 例新生儿)。它们可能在没有任何外伤史或工具化分娩时出现。在此,我们将描述一例新生儿乒乓球骨折的意外骨折病例。
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Congenital depressed skull fracture ("ping-pong" fracture) in newborn infants as a differential diagnosis of physical abuse.

Depressed skull fractures without a clear explanation as to their origin point to trauma with a blunt object and suspected child abuse. In the case of newborn infants, their young age is a vulnerability factor and requires an exhaustive assessment. When child abuse is suspected, an assessment of the differential diagnoses is required to make the most appropriate intervention possible. Both an excessive intervention and an omission of a necessary intervention should be avoided. Congenital depressed skull fractures, described as "ping-pong fractures", are rare (0.3 to 2/10 000 births). They may appear without any trauma history or in instrumentalized childbirth. Here we describe the case of a newborn infant with a ping-pong fracture as an example of an accidental fracture.

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来源期刊
CiteScore
1.40
自引率
25.00%
发文量
286
审稿时长
6-12 weeks
期刊介绍: Archivos Argentinos de Pediatría is the official publication of the Sociedad Argentina de Pediatría (SAP) and has been published without interruption since 1930. Its publication is bimonthly. Archivos Argentinos de Pediatría publishes articles related to perinatal, child and adolescent health and other relevant disciplines for the medical profession.
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