Title: Isolated skull fractures in pediatrics
题目：儿科病人的单纯颅骨骨折
Author 作者: Jennifer Guyther

Pediatric patients with an isolated skull fracture and normal neurological exam have a low risk of neurosurgical intervention and outpatient follow up may be appropriate (assuming no suspicion of abuse and a reliable family). 
一个具有正常神经系统检查的单纯颅骨骨折的小儿患者需要神经外科进行治疗的风险很低，门诊随访是可以的（假设没有虐待的可能性和可信赖的家庭）。
In a study published in 2011, a retrospective review over a 5 year period at a level 1 trauma center showed that 1 out of 171 admitted patients with isolated skull fractures developed vomiting.  This patient had a follow up CT showing a small extra-axial hematoma that did not require intervention.  58 patients were discharged from the ED within 4 hours.
在2011年发表的一项研究中，通过5年的回顾性分析显示，在1级创伤中心的
171单纯颅骨骨折入院的病人中只有1人出现呕吐。该患者的重复CT显示一个小的轴外血肿，并不需要手术。58例在4小时内从急诊科出院。
You can also check out another recent article published in on the same topic this month!
您还可以查看另一个在同月Annals of Emergency Medicine发表的文章！
References 参考文献：
Rollins et al.  Neurologically intact children with an isolated skull fracture may be safely discharged after brief observation.  Journal of Pediatric Surgery.  Volume 26.  Issue 7. 2011.
Mannix et al.   Skull Fractures: Trends in Management in US Pediatric Emergency Departments.  Annals of Emergency Medicine.  Volume 64.  Issue 4.  2013.