儿童创伤性脑损伤的研究进展

Research progress of childhood traumatic brain injury

创伤性脑损伤(TBI)是儿科较常见的急危重症,也是儿童残疾和死亡的重要原因,且有逐年增加的趋势。但儿童TBI的流行病学调查发现重度TBI的发病率下降,轻度TBI明显增多。由于TBI后存在长期慢性创伤性脑病的风险,目前儿童脑震荡的病理生理学、结局以及TBI程度的检测日益引起关注。去骨瓣减压术在儿童TBI中的作用仍未阐明。本文就近年来国内外关于儿童TBI的研究进展作一综述。

Traumatic brain injury(TBI)is a common acute and critical illness in pediatrics,and it is also an important cause of child disability and death,and has an increasing trend year by year.However,the epidemiological investigation of children’s TBI shown that the incidence of severe TBI decreased,while the incidence of mild TBI increased significantly.Due to the long-term risk of chronic traumatic encephalopathy,the pathophysiology and outcome of concussion in children,as well as the detection of the degree of craniocerebral injury,have attracted increasing attention.The role of decompressive craniectomy in children with TBI remains to be elucidated.This article reviews the research progress on TBI in children at home and abroad in recent years.