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[挥鞭样损伤的定义、分类及流行病学]

[Definition, classification and epidemiology of whiplash].

作者信息

Jensen Troels Staehelin, Kasch Helge, Bach Flemming Winther, Bendix Tom, Kongsted Alice

机构信息

Dansk Smerteforskningscenter, Arhus Universitetshospital, Arhus Sygehus, 8000 Arhus C, Denmark.

出版信息

Ugeskr Laeger. 2010 Jun 14;172(24):1812-4.

Abstract

A whiplash trauma is caused by an acceleration-deceleration force transferring its energy to the cervical spine. Whiplash-associated disorder (WAD) refers to the symptoms that develop after a whiplash injury. The prognosis is favorable with recovery in over 90% of the injured subjects. In a fraction of patients, long-term symptoms with pain and cognitive and emotional symptoms may occur, causing long-term disability. The pathophysiology is unclear. Most research groups favor a multifactorial pathophysiology similar to that observed for other chronic pain conditions without a clear nociceptive or neuropathic component.

摘要

挥鞭样创伤是由加速-减速力将其能量传递至颈椎所引起的。挥鞭样损伤相关疾病(WAD)是指在挥鞭样损伤后出现的症状。超过90%的受伤患者预后良好并可康复。一小部分患者可能会出现伴有疼痛以及认知和情绪症状的长期症状,导致长期残疾。其病理生理学尚不清楚。大多数研究团队倾向于一种多因素病理生理学,类似于在其他无明确伤害性或神经性成分的慢性疼痛病症中所观察到的情况。

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