Stower M J, Amar S S, Mikulin T, Kean D M, Hardcastle J D
J R Soc Med. 1985 Aug;78(8):630-3. doi: 10.1177/014107688507800806.
The prognostic value of an erect and supine abdominal X-ray was studied prospectively in 97 patients with an acute abdomen. Although 64 (66%) of the radiographs showed an abnormality, the surgical registrar altered his clinical diagnosis on only seven occasions and changed his management on four. A consultant radiologist was the most accurate at reporting the X-rays even without seeing the patient, whilst junior surgical and radiological staff were as accurate as each other. A surgical registrar, however, was more accurate than junior radiologists in making a diagnosis. The investigation was of immediate clinical value in only 4% of the patients, and its use could probably be limited without detriment to patients.
对97例急腹症患者进行了前瞻性研究，以评估立位和平卧位腹部X线检查的预后价值。尽管64张（66%）X线片显示有异常，但外科住院医师仅在7例中改变了临床诊断，4例中改变了治疗方案。即使不看患者，放射科会诊医师在报告X线片时最为准确，而初级外科和放射科工作人员的准确性相当。然而，外科住院医师在做出诊断方面比初级放射科医师更准确。该检查仅对4%的患者具有直接临床价值，在不损害患者的情况下，其应用可能会受到限制。
