North S, Pollak E W
South Med J. 1983 Apr;76(4):468-70. doi: 10.1097/00007611-198304000-00013.
The role of skull roentgenograms in determining choice of therapy, hospital admission, and length of hospitalization was evaluated in 106 consecutive patients with head injury. Thirty patients were discharged from the emergency room after initial evaluation and had uneventful recovery. Seventy-six were admitted and discharged without operative treatment one to ten days later. Only five had pathologic skull findings roentgenographically. Of these, one was discharged from the emergency department; the remaining four were admitted because of abnormal neurologic findings. All five recovered uneventfully. Another patient who had a normal roentgenographic evaluation required subsequent admission for craniotomy. Skull roentgenograms were an unimportant factor in the management of head injury patients and did not eliminate the need for complete and serial neurologic evaluation.
对106例连续的头部受伤患者评估了头颅X线片在确定治疗方案选择、住院与否及住院时间方面的作用。30例患者在初始评估后从急诊室出院，恢复顺利。76例患者入院，1至10天后未经手术治疗出院。仅5例患者X线片显示颅骨有病理改变。其中，1例从急诊科出院；其余4例因神经系统检查异常而入院。所有5例均恢复顺利。另1例X线片评估正常的患者随后需要入院行开颅手术。头颅X线片在头部受伤患者的管理中并非重要因素，也不能替代全面的系列神经系统评估。
