Butler D J, Moffic H S, Turkal N W
Medical College of Wisconsin, Milwaukee, USA.
Am Fam Physician. 1999 Aug;60(2):524-31.
Despite improvements in road conditions, vehicle safety and driver education, over 3 million persons are injured in motor vehicle accidents each year. Many of these persons develop post-traumatic stress symptoms that can become chronic. Patients with post-traumatic stress disorder experience disabling memories and anxiety related to the traumatic event. Early identification of these patients is critical to allow for intervention and prevent greater impairment and restriction. The family physician is in an ideal position to identify, treat or refer patients with traumatic responses to traffic accidents. The physician's awareness of patient characteristics and pre-accident functioning allows him or her to critically evaluate symptoms that may begin to interfere with the resumption of daily activities.
尽管道路状况、车辆安全性和驾驶员教育都有所改善,但每年仍有超过300万人在机动车事故中受伤。其中许多人会出现创伤后应激症状,这些症状可能会发展为慢性症状。创伤后应激障碍患者会经历与创伤事件相关的致残性记忆和焦虑。尽早识别这些患者对于进行干预并防止更严重的损伤和功能受限至关重要。家庭医生处于识别、治疗或转诊交通事故创伤反应患者的理想位置。医生对患者特征和事故前功能的了解使他或她能够批判性地评估可能开始干扰日常活动恢复的症状。