Johannsen F, Groth M, Rossel I
Reumatologisk fysiurgisk afdeling, Bispebjerg Hospital, København.
Ugeskr Laeger. 1991 Dec 16;153(51):3619-21.
The whiplash trauma is defined as hyperextension followed by hyperflexion of the cervical spine or the reverse. The lesion occurs mainly in the occupants of a motor vehicle into which another vehicle collides from behind. Even when there is no radiographic evidence of injury, considerable lesions of the soft tissues may, nevertheless, be present. Review of the literature and the present authors' investigations reveal that up to 80% of the patients have chronic symptoms and 10% of these are severe enough to cause incapacity. The therapeutic regimen has not been well investigated but, at present, intermittent cooling and support by a collar for a few days followed by rapid mobilizing and exercises within the limit of pain are recommended.
挥鞭样创伤被定义为颈椎先过伸后过屈或相反情况。该损伤主要发生在被另一辆车从后方碰撞的机动车驾乘人员身上。即使没有影像学损伤证据，软组织仍可能存在相当程度的损伤。文献回顾及作者目前的研究表明，高达80%的患者有慢性症状，其中10%严重到足以导致失能。治疗方案尚未得到充分研究，但目前建议采用间歇性冷敷，用颈托支撑几天，随后在疼痛限度内迅速进行活动和锻炼。
