Greenbaum Jason, Walters Nathan, Levy Phillip D
Wayne State University School of Medicine, Department of Emergency Medicine, Detroit Receiving Hospital-Emergency Medicine Residency, Detroit, Michigan 48201, USA.
J Emerg Med. 2009 Jan;36(1):64-71. doi: 10.1016/j.jemermed.2008.01.014. Epub 2008 Sep 10.
The modern approach to suspected cervical spine injuries is highly dependent on appropriate utilization of radiographic studies. Clinical decision rules have been developed for determination of those most likely to benefit from plain film studies, but there is confusion regarding those who should undergo computed tomography (CT) scanning. This case-based review highlights current available evidence and provides a framework to guide emergency medicine providers in the treatment of patients with trauma to the cervical spine.
现代针对疑似颈椎损伤的处理方法高度依赖于放射学检查的合理运用。已经制定了临床决策规则来确定那些最有可能从X线平片检查中获益的患者,但对于哪些患者应接受计算机断层扫描(CT)仍存在困惑。本基于病例的综述强调了当前可用的证据,并提供了一个框架,以指导急诊医学人员对颈椎创伤患者的治疗。