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Skull X-rays after trauma: are both laterals necessary?创伤后的颅骨X光检查:两张侧位片都有必要吗?
Arch Emerg Med. 1988 Mar;5(1):18-20. doi: 10.1136/emj.5.1.18.
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Linear fractures occult on skull radiographs: a pitfall at radiological screening for mild head injury.颅骨X线平片隐匿性线性骨折:轻度头部损伤放射学筛查中的一个陷阱。
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Skull X-rays in minor head injury. A review of their use and interpretation by casualty officers.轻度头部损伤的颅骨X光检查。急诊室工作人员对其应用及解读的综述。
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Missed clavicle fractures on anterior-posterior views of skull X-rays: a retrospective, observational, and descriptive study.颅骨X线前后位片上漏诊的锁骨骨折:一项回顾性、观察性和描述性研究。
Clin Exp Emerg Med. 2015 Mar 31;2(1):24-30. doi: 10.15441/ceem.14.033. eCollection 2015 Mar.

本文引用的文献

1
Brain damage in fatal non-missile head injury.
J Clin Pathol. 1980 Dec;33(12):1132-45. doi: 10.1136/jcp.33.12.1132.
2
Skull X-rays after recent head injury.近期头部受伤后的颅骨X光片。
Clin Radiol. 1980 Jul;31(4):463-9. doi: 10.1016/s0009-9260(80)80195-4.
3
Risks of intracranial haematoma in head injured adults.头部受伤成年人颅内血肿的风险
Br Med J (Clin Res Ed). 1983 Oct 22;287(6400):1173-6. doi: 10.1136/bmj.287.6400.1173.
4
The significance of skull fractures in children. A study of 1,187 patients.儿童颅骨骨折的意义。对1187例患者的研究。
Radiology. 1971 Oct;101(1):151-6. doi: 10.1148/101.1.151.
5
Were you knocked out?--Yes, but I wasn't admitted.你当时被打晕了吗?——是的,但我没有住院。
Arch Emerg Med. 1985 Sep;2(3):121-9. doi: 10.1136/emj.2.3.121.
6
The utility of post-traumatic skull X-rays.创伤后颅骨X光片的效用。
Arch Emerg Med. 1987 Sep;4(3):141-50. doi: 10.1136/emj.4.3.141.

创伤后的颅骨X光检查:两张侧位片都有必要吗?

Skull X-rays after trauma: are both laterals necessary?

作者信息

Leaman A M, Gorman D F, Danher J, Nixon T

机构信息

Royal Liverpool Hospital, England.

出版信息

Arch Emerg Med. 1988 Mar;5(1):18-20. doi: 10.1136/emj.5.1.18.

DOI:10.1136/emj.5.1.18
PMID:3408522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285471/
Abstract

Eighty-eight sets of skull X-rays, each showing an unequivocal skull fracture, were examined by a radiologist under controlled conditions to see if fractures would be missed if only one lateral view was included in the X-ray series. The fracture sets were mixed at random with four times as many normal sets of skull X-rays and each fracture set was examined on two occasions, once with one lateral and once with both laterals. Two of the fractures were not visible when only one lateral was available.

摘要

八十八组颅骨X光片,每组均显示有明确的颅骨骨折,由一位放射科医生在可控条件下进行检查,以确定如果X光片系列中只包含一张侧位片,骨折是否会被漏诊。骨折组与四倍数量的正常颅骨X光片随机混合,每组骨折片检查两次,一次只用一张侧位片,一次用两张侧位片。当只有一张侧位片时,有两处骨折未被发现。