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- W2334590691 abstract "【目的】12歳以下の小児重度外傷について調査した．なお重度外傷については，便宜上New injury severity score（NISS）16以上を対象とした．【対象】対象は8人，年齢は平均5.2（0～11）歳，全例男児であった．受傷機転は交通事故5例，農耕具による事故1例，建築現場での事故1例，虐待1例であった．NISSは平均35.8（17～75）であった．院外および来院時心肺停止が1例ずつ，院外呼吸停止が1例であった．【結果】8例中4例が翌日までに死亡した．直接死因は，急性硬膜下血腫に伴う脳ヘルニア，びまん性脳損傷，後頭骨環椎脱臼，肝損傷であった．救命し得た4例では，最終調査時に，3例は装具や杖なしに学校生活や日常生活を送っていた．【考察】高エネルギー外傷の場合，骨傷のみである症例はむしろ稀であり，他科との連携を密にする必要がある．" @default.
- W2334590691 created "2016-06-24" @default.
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- W2334590691 date "2011-01-01" @default.
- W2334590691 modified "2023-09-28" @default.
- W2334590691 title "Severely Injured Children Yonger than 12 Years" @default.
- W2334590691 doi "https://doi.org/10.5035/nishiseisai.60.169" @default.
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