Question
Fell from a 50-centimeter-high flowerpot, experiencing pain in the left ear and a bump on the left side of the brain. There is a drowsy sensation, but thinking is clear. No nose injury, with bloodstains in the nasal cavity half an hour later, and vomiting with a small amount of blood 13 hours after the fall. 13 hours later, the spirit is slightly worse than usual. What are the symptoms of pediatric skull and brain injuries?
Answer
The main symptoms include changes in consciousness and muscle tone variation, with severe cases potentially accompanied by brainstem dysfunction. Depending on the severity of the condition, it can be categorized into mild, moderate, or severe. Mild cases mainly manifest as excitement and irritability, with possible tremors in limbs and lower jaw, active Moro reflex, normal muscle tone, stable breathing, flat anterior fontanelle, and generally no seizures. These symptoms usually gradually diminish after 24 hours. It is recommended to undergo a head CT scan to further clarify the nature of the lesion to avoid delaying treatment. During this period, pay attention to rest and closely observe the baby’s mental state. If there are jet-like vomiting and neck stiffness, seek medical attention immediately.