所有伤亡人员的X光片都应该被复查吗？
Should all casualty radiographs be reviewed?
作者信息
Wardrope J, Chennells P M
出版信息
Br Med J (Clin Res Ed). 1985 Jun 1;290(6482):1638-40. doi: 10.1136/bmj.290.6482.1638.
Abstract
The effect on the management of patients of routine reporting of casualty radiographs by radiologists was reviewed. The overall prevalence of error by casualty doctors was 6.2%. Many of these errors, however, were trivial and did not alter treatment. In only 1.1% of the cases reviewed did the report of x ray films appreciably alter the management of the patient. A severity score was introduced to highlight those anatomical areas in which important lesions were overlooked most often. Radiologists' reports on radiographs of the chest, face, skull, and wrist had the greatest effect on management of patients, while reports on radiographs of fingers, hands, shoulders, long bones, and toes seldom altered treatment.
摘要
对放射科医生常规汇报急诊X光片对患者治疗管理的影响进行了回顾。急诊医生的总体错误率为6.2%。然而，其中许多错误并不严重，并未改变治疗方案。在仅1.1%的被审查病例中，X光片报告显著改变了患者的治疗管理。引入了一个严重程度评分，以突出那些重要病变最常被忽视的解剖区域。放射科医生对胸部、面部、颅骨和腕部X光片的报告对患者治疗管理的影响最大，而对手指、手部、肩部、长骨和脚趾X光片的报告很少改变治疗方案。
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