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颈椎创伤后在急诊科应进行哪些诊断性检查?

[Which diagnostic tests are indicated in the emergency department after trauma to the cervical spine?].

作者信息

Riesenbeck Oliver, Raschke Michael J

机构信息

Klinik für Unfall‑, Hand- & Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2025 Feb;128(2):75-80. doi: 10.1007/s00113-024-01520-3. Epub 2025 Jan 6.

Abstract

Injuries to the cervical spine are a diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient's medical history and subsequently clinical and neurological examinations. As a result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed. Finally, the current literature is reviewed considering the diagnostic examination options, taking the clinically relevant key questions into account.

摘要

颈椎损伤是一项诊断难题,因为尽管相对于总人口而言此类损伤较为罕见,但在任何情况下都不应被忽视。本文介绍了急诊科的诊断流程,首先是患者的病史,随后是临床和神经学检查。因此,讨论了临床决策工具国家急诊X线摄影利用研究(NEXUS)标准和加拿大颈椎规则(CCR)。最后,结合诊断检查选项对当前文献进行了综述,并考虑了临床相关的关键问题。

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