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Coagulopathy in Pediatric Abusive Head Trauma
Pediatrics 99:371-375, Hymel,K.P.,et al, 1997
See this aricle in Pubmed

Article Abstract
Mild prothrombin time(PT)prolongations(median 13.1)occurred in 54%of study patients with parenchymal brain damage and only 20%of study patients without parenchymal brain damage.Among pediatric abusive head trauma patients with parenchymal brain damage who died,94%displayed PT prolongations(median 16.3)and 63%manifested evidence of activated coagulation.PT prolongation and activated coagulation are common complications of pediatric abusive head trauma.In the presence of parenchymal brain damage,it is highly unlikely that these coagulation abnormalities reflect a preexisting hemorrhagic diathesis.These conclusions have diagnostic,prognostic and legal significance.
 
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battered child syndrome
child abuse
children
coagulopathy
disseminated intravascular coagulation(DIC)
head injury
head injury,defibrination following
head injury,pediatric
prothrombin time
prothrombin time,prolonged

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