儿科急诊的神经影像学

Uppalapati Tanmayi, A. G., Adarsh E., Gautam M.
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摘要

背景:新生儿和儿童占急诊的20%,选择合适的影像学方式对早期诊断和准确治疗非常重要。与成人相比,这些儿科紧急情况需要不同的诊断和管理方法。本文将重点介绍在儿科人群中更为常见和特殊的神经影像学评估和诊断。方法:根据纳入和排除标准选择病例,于2021年3月至2022年8月使用扫描仪、成像软件和病历进行单中心研究。结果:36例非创伤性病例根据病因进一步分组;其中13例(36.1%)符合先天性异常。患儿缺氧缺血性脑病10例(27.7%),脑卒中9例(25%),感染5例(13.8%),肿瘤4例(11.1%),肿瘤4例(11.1%)。结论:神经影像学是儿科急诊诊断的关键。应更多地将新技术的进步作为诊断、管理和预测以及早期干预的综合方法加以利用,以改善功能和心理结果。
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Neuroimaging in paediatric emergencies
Background: Neonatal and Pediatric population comprise up to 20% of emergencies and it is very important to choose appropriate imaging modality to diagnose early and treat accurately. These Pediatric emergencies require different approach to diagnose and manage compared to the adult population. This article will focus on the neuroimaging for evaluation and diagnosis that has more common and specific occurrence in paediatric population. Methods: Cases were selected based on inclusion and exclusion criteria and a single centre study was done using the scanners, imaging software and medical records from March 2021 to August 2022. Results: 36 non-traumatic cases were further subgrouped based on the etiological factors; of which 13 cases (36.1%) had findings consistent with congenital abnormalities. The proportion of children with Hypoxic ischemic encephalopathy, Stroke, Infections and Neoplastic were 10 cases (27.7%), 9 cases (25%), 5 cases (13.8%), 4 cases (11.1%) and 4 cases (11.1%) respectively. Conclusions: Neuroimaging is the key in pediatric emergencies. The advancement in newer modalities of technology should be put into use more as a combined approach in diagnosis, management and prognostication as well as for early intervention to improve functional and psychological outcome.
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