Al-Hadithy Nawfal, Khan Arshad, Banerjee Ashis
Department of Accident and Emergency, Chase Farm, The Ridgeway, Enfield, UK.
BMJ Case Rep. 2011 Feb 23;2011:bcr1220103576. doi: 10.1136/bcr.12.2010.3576.
The authors present a case report of a potentially missed C2 fracture whose signs and symptoms did not warrant radiograph imaging according to both the National Emergency X-Radiography Utilization Study and Canadian C-spine Rules. The patient had a significant injury while rear-ending a stationary vehicle at 20 mph, and the correct diagnosis was only made based on approaching him with a high index of suspicion. He was successfully treated in a halo collar and made an excellent recovery.
作者报告了一例可能漏诊的C2骨折病例，根据国家急诊X线摄影利用研究和加拿大颈椎规则，该病例的体征和症状并不需要进行X线影像学检查。患者以每小时20英里的速度追尾一辆静止车辆时受了重伤，正确的诊断是基于高度怀疑而做出的。他通过佩戴 Halo 颈托成功治愈，恢复良好。
