Pearce J M
Department of Neurology, Hull Royal Infirmary, United Kingdom.
J Neurol Neurosurg Psychiatry. 1989 Dec;52(12):1329-31. doi: 10.1136/jnnp.52.12.1329.
Few topics provoke so much controversy or heated opinion, based on so little fact as whiplash injuries. In emergency departments, orthopaedic, neurological and rheumatological clinics, and not least in the Courts, this common syndrome is shrouded in mystery and creates clinical insecurity in those who attempt to explain its mechanism, its prognosis and treatment. These problems are compounded in medico-legal practice where the potential rewards of successful litigation may colour the clinical picture.
很少有话题能像挥鞭样损伤那样,基于如此少的事实却引发如此多的争议或激烈观点。在急诊科、骨科、神经科和风湿病诊所,尤其是在法庭上,这种常见综合征笼罩在神秘之中,给试图解释其机制、预后和治疗方法的人带来临床方面的不确定性。在医疗法律实践中,这些问题更加复杂,因为成功诉讼的潜在回报可能会影响临床表现。