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an emotional wound or shock often having long-lasting effects (同)psychic_trauma

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外傷 / 精神的外傷(心に永久的な傷を残すような衝撃)

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1. 鈍的または鋭的損傷を受け初期は安定している小児に対するアプローチ approach to the initially stable child with blunt or penetrating injury
2. 外傷のマネージメント：不安定な小児に対するアプローチ trauma management approach to the unstable child
3. 小児または思春期のアスリートにおける頸髄および頸部末梢神経損傷の概要 overview of cervical spinal cord and cervical peripheral nerve injuries in the child or adolescent athlete
4. 小児または思春期のアスリートにおける頸部の筋骨格損傷の概要 overview of musculoskeletal neck injuries in the child or adolescent athlete
5. 小児における重度の外傷性脳損傷に対する初期アプローチ initial approach to severe traumatic brain injury in children

English Journal

Computed tomography characteristics in pediatric versus adult traumatic brain injury.

Sarkar K1, Keachie K, Nguyen U, Muizelaar JP, Zwienenberg-Lee M, Shahlaie K.Author information 1Departments of Neurology and.AbstractObject Traumatic brain injury (TBI) is a leading cause of injury, hospitalization, and death among pediatric patients. Admission CT scans play an important role in classifying TBI and directing clinical care, but little is known about the differences in CT findings between pediatric and adult patients. The aim of this study was to determine if radiographic differences exist between adult and pediatric TBI. Methods The authors retrospectively analyzed TBI registry data from 1206 consecutive patients with nonpenetrating TBI treated at a Level 1 adult and pediatric trauma center over a 30-month period. Results The distribution of sex, race, and Glasgow Coma Scale (GCS) score was not significantly different between the adult and pediatric populations; however, the distribution of CT findings was significantly different. Pediatric patients with TBI were more likely to have skull fractures (OR 3.21, p < 0.01) and epidural hematomas (OR 1.96, p < 0.01). Pediatric TBI was less likely to be associated with contusion, subdural hematoma, subarachnoid hemorrhage, or compression of the basal cisterns (p < 0.05). Rotterdam CT scores were significantly lower in the pediatric population (2.3 vs 2.6, p < 0.001). Conclusions There are significant differences in the CT findings in pediatric versus adult TBI, despite statistical similarities with regard to clinical severity of injury as measured by the GCS. These differences may be due to anatomical characteristics, the biomechanics of injury, and/or differences in injury mechanisms between pediatric and adult patients. The unique characteristics of pediatric TBI warrant consideration when formulating a clinical trial design or predicting functional outcome using prognostic models developed from adult TBI data.
Journal of neurosurgery. Pediatrics.J Neurosurg Pediatr.2014 Mar;13(3):307-14. doi: 10.3171/2013.12.PEDS13223. Epub 2014 Jan 10.
Object Traumatic brain injury (TBI) is a leading cause of injury, hospitalization, and death among pediatric patients. Admission CT scans play an important role in classifying TBI and directing clinical care, but little is known about the differences in CT findings between pediatric and adult patien
PMID 24410128

Timing and Predictors for Urinary Drainage in Expectantly Managed Grade IV Pediatric Renal Trauma.

Reese JN1, Fox JA2, Cannon GM Jr1, Ost MC1.Author information 1Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.2Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; Lieutenant Commander, United States Navy, Naval Medical Center Portsmouth, Portsmouth, VA.AbstractPURPOSE: We sought to determine which pediatric patients sustaining blunt grade IV renal trauma are at highest risk for failing non-operative management and in what time frame those patients will likely present.
The Journal of urology.J Urol.2014 Feb 21. pii: S0022-5347(14)00294-8. doi: 10.1016/j.juro.2014.02.039. [Epub ahead of print]
PURPOSE: We sought to determine which pediatric patients sustaining blunt grade IV renal trauma are at highest risk for failing non-operative management and in what time frame those patients will likely present.MATERIALS AND METHODS: We retrospectively reviewed children with non-vascular grade IV bl
PMID 24565528

Blunt traumatic left atrial appendage rupture and cardiac herniation.

Nhan NH1, Anh PT, Trung TM, Pezzella AT.Author information 1Medical and Health Science Center, University of Debrecen, Hungary.AbstractA 42-year-old man sustained blunt thoracic trauma after a motor vehicle accident. He underwent an urgent operation. Operative findings included a large hematoma, a 4-cm tear in the left atrial appendage, and a long pleuropericardial rupture along the right phrenic nerve. We repaired the left atrial appendage without cardiopulmonary bypass, and closed the pericardial defect primarily. The patient recovered fully and was discharged on the 6th postoperative day.
Asian cardiovascular & thoracic annals.Asian Cardiovasc Thorac Ann.2014 Feb 19. [Epub ahead of print]
A 42-year-old man sustained blunt thoracic trauma after a motor vehicle accident. He underwent an urgent operation. Operative findings included a large hematoma, a 4-cm tear in the left atrial appendage, and a long pleuropericardial rupture along the right phrenic nerve. We repaired the left atrial
PMID 24585276