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[颅脑外伤中的颈椎损伤:事故当日的X线诊断]

[Cervical spinal injuries in craniocerebral trauma: their x-ray diagnosis on the day of the accident].

作者信息

Schnarkowski P, Friedrich J M, Arand M, Mutschler W

机构信息

Abteilung Röntgendiagnostik, Universität Ulm.

出版信息

Rofo. 1991 Jun;154(6):605-9. doi: 10.1055/s-2008-1033195.

DOI:10.1055/s-2008-1033195
PMID:1648762
Abstract

To investigate cervical spine injuries and to evaluate cervical radiography 100 patients were reviewed who were referred to computed tomography of the head because of blunt head trauma. 15 sustained cervical injury, 11 were located at the lower level of the cervical spine. Six fractures of the lower cervical spine were detected by additional radiographs. The diagnosis was established by computed tomography in three cases. To rule out cervical injuries in patients with incomplete visualisation of the lower cervical spine, cervical computed tomography should be performed in addition to lateral, anterioposterior, and open-mouth views.

摘要

为了调查颈椎损伤情况并评估颈椎X线摄影,我们回顾了100例因钝性头部创伤而接受头部计算机断层扫描的患者。15例患者发生颈椎损伤,其中11例位于颈椎较低节段。另外通过X线片检测到6例下颈椎骨折。3例通过计算机断层扫描确诊。为了排除下颈椎显示不完全的患者的颈椎损伤,除了拍摄颈椎侧位、前后位和开口位片外,还应进行颈椎计算机断层扫描。

相似文献

1
[Cervical spinal injuries in craniocerebral trauma: their x-ray diagnosis on the day of the accident].[颅脑外伤中的颈椎损伤:事故当日的X线诊断]
Rofo. 1991 Jun;154(6):605-9. doi: 10.1055/s-2008-1033195.
2
[Fractures of the cervical spine. Diagnosis in multiple trauma patients].[颈椎骨折。多发伤患者的诊断]
Radiologe. 1994 Dec;34(12):721-7.
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Clearing the cervical spine in critically injured patients: a comprehensive C-spine protocol to avoid unnecessary delays in diagnosis.评估重症创伤患者的颈椎:一项避免诊断不必要延迟的综合颈椎评估方案
Eur Spine J. 2006 Dec;15(12):1801-10. doi: 10.1007/s00586-006-0084-1. Epub 2006 Mar 15.
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Incidence of combined cranial and cervical spine injuries in patients with blunt minor trauma: are combined CT examinations of the head and cervical spine justified?钝性轻度创伤患者颅颈联合损伤的发生率:头部和颈椎联合CT检查是否合理?
Acta Radiol. 2017 Jul;58(7):856-860. doi: 10.1177/0284185116673120. Epub 2016 Oct 17.
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Assessment for additional spinal trauma in patients with cervical spine injury.颈椎损伤患者额外脊柱创伤的评估。
Am Surg. 2007 Jan;73(1):70-4.
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Value of complete cervical helical computed tomographic scanning in identifying cervical spine injury in the unevaluable blunt trauma patient with multiple injuries: a prospective study.全颈椎螺旋计算机断层扫描在评估多发伤致钝性创伤且无法评估的患者颈椎损伤中的价值:一项前瞻性研究。
J Trauma. 1999 Nov;47(5):896-902; discussion 902-3. doi: 10.1097/00005373-199911000-00014.
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False-negative plain cervical spine x-rays in blunt trauma.钝性创伤中颈椎X线平片的假阴性结果
Am Surg. 2003 Nov;69(11):1010-4.
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Frequent computed tomography scanning due to incomplete three-view X-ray imaging of the cervical spine.由于颈椎的三视角X线成像不完整而频繁进行计算机断层扫描。
J Trauma. 2010 May;68(5):1213-7. doi: 10.1097/TA.0b013e3181b28aa4.
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Computed tomography whole body imaging in multi-trauma: 7 years experience.计算机断层扫描全身成像在多发伤中的应用:7年经验
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The incidence of noncontiguous spinal fractures and other traumatic injuries associated with cervical spine fractures: a 10-year experience at an academic medical center.非相邻脊柱骨折和与颈椎骨折相关的其他创伤性损伤的发生率:在学术医疗中心的 10 年经验。
Spine (Phila Pa 1976). 2011 Sep 1;36(19):1532-40. doi: 10.1097/BRS.0b013e3181f550a6.

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[Shock trauma room management of spinal injuries in the framework of multiple trauma. A systematic review of the literature].[多发伤框架下脊柱损伤的休克创伤室管理。文献系统综述]
Unfallchirurg. 2004 Oct;107(10):911-8. doi: 10.1007/s00113-004-0829-4.