事故与急诊科室中颅骨X光的使用。
The use of skull X-rays in the accident and emergency department.
作者信息
Simon S D, Dodds R D A
机构信息
Department of Orthopaedics, Royal Berkshire Hospital, Reading, UK.
出版信息
Ann R Coll Surg Engl. 2003 Mar;85(2):120-2. doi: 10.1308/003588403321219920.
The notes of all patients attending the accident and emergency department at the Royal Berkshire Hospital with a head injury from 1-30 September 1999 were analysed for the indications for skull X-ray, the report on film, and the outcome of the consultation. Using the existing Royal Berkshire Hospital guidelines, 50% (193/385) of all patients had skull X-rays performed. One fracture was detected. If the recent guidelines from The Royal College of Surgeons of England Working Party for the use of skull X-rays in institutions which possess a CT scanner were applied, the number of skull X-rays performed would reduce from 193 to 14 without detriment to any patient.
对1999年9月1日至30日在皇家伯克郡医院急诊部就诊的所有头部受伤患者的病历进行了分析，以了解颅骨X光检查的指征、胶片报告以及会诊结果。根据皇家伯克郡医院现有的指导方针，所有患者中有50%（193/385）进行了颅骨X光检查。检测到一处骨折。如果应用英国皇家外科医学院工作组关于在拥有CT扫描仪的机构中使用颅骨X光检查的最新指导方针，进行颅骨X光检查的数量将从193例减少到14例，且不会对任何患者造成损害。
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