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老年人跌倒:警惕颈椎骨折!

[Falls in the elderly: think about cervical fracture!].

作者信息

Morisod J, Coutaz M

机构信息

Centre hospitalier du Chablais, Centre de gériatrie du Bas-Valais, Clinique St-Amé, 1890 St-Maurice.

出版信息

Rev Med Suisse. 2009 Nov 4;5(224):2195-6, 2198-9.

Abstract

Cervical spine fractures are not uncommon in the geriatric population. Lower energy injuries could be responsible, like a simple fall. After an injury, a fracture should always be suspected in patients who complain of cervical tenderness, until proven otherwise. Simple and easily applicable guidelines, such as the NEXUS rules that has been validated in the elderly, could help to achieve a correct diagnosis. Most often, cervical immobilization by rigid collars is an adequate therapy and allows a satisfactory functional recovery.

摘要

颈椎骨折在老年人群中并不罕见。低能量损伤可能是原因,比如一次简单的跌倒。受伤后,对于主诉颈部压痛的患者应始终怀疑有骨折,除非另有证实。一些简单且易于应用的指南,如已在老年人中得到验证的NEXUS规则,有助于做出正确诊断。大多数情况下,使用硬质颈托进行颈椎固定是一种足够的治疗方法,并能实现令人满意的功能恢复。

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