English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Eletrocardiographic changes in severe head trauma in childhood Objective: To study the electrocardiographic changes in severe head trauma in childhood which have been rarely described in the international literature. The incidence, physiopathology, susceptibility and the treatment are not very well established yet. Patients and methods: Eight pediatric patients with severe head trauma were studied prospectively. On admission, they were subjected to neurological examination, computer tomography (CT) of brain, 12 lead electrocardiogram and evaluation by Glasgow Coma Score. Results: The age ranged from three to fifteen year (mean = 10). The main cause of head trauma was automobile accident. CT of brain showed: diffuse cerebral edema (4 cases), traumatic subarachnoid hemorrhage (2 cases), temporal lobe contusion (1 case) and intraventricular hemorrhage (1 case). On admission, the electrocardiogram did not show any changes suggestive of myocardial ischemia. The heart rate was high in five cases, with supraventricular tachycardia in one case and sinus tachycardia in the others. The systemic arterial pressure was normal in seven cases and low in one case. The conservative treatment was carried through in seven cases. Seven patients developed mild or moderate neurological deficits and one patient died. Conclusion: There are still divergences about incidence of electrocardiographic changes in severe head trauma in pediatric patients. In the present series, significant alterations had not been observed. In such a way, more studies on the subject are necessary, to determine the management of these cases.

Alterações eletrocardiográficas em traumatismo craniencefálico grave na infância