Leonidas J C, Ting W, Binkiewicz A, Vaz R, Scott R M, Pauker S G
Pediatrics. 1982 Feb;69(2):139-43.
Review of 354 infants and children who had skull roentgenography for head trauma over a 21/2-year period revealed a low incidence of fractures (4.2%) and no serious intracranial complications. With the exception of one patient with an elevated surgically depressed skull fracture, treatment was not changed because of the detection of a fracture. Thus, in the usually mild head trauma sustained by most children, routine skull roentgenography is inefficient. To make efficient use of resources, clinical criteria are necessary to select patients for skull roentgenography. Criteria previously defined for adult patients are, however, less useful in children. On the basis of the present study, additional criteria were identified so that fractures may be detected among children with mild head trauma, at much reduced cumulative cost and exposure to radiation. Nevertheless, the clinical importance of detection of skull fractures remains uncertain.
对在2年半时间内接受颅骨X线检查以评估头部外伤的354名婴幼儿和儿童进行的回顾显示，骨折发生率较低（4.2%），且无严重颅内并发症。除1例手术复位的颅骨凹陷性骨折患者外，未因发现骨折而改变治疗方案。因此，对于大多数儿童通常遭受的轻度头部外伤，常规颅骨X线检查效率低下。为了有效利用资源，需要临床标准来选择进行颅骨X线检查的患者。然而，先前为成年患者定义的标准对儿童不太有用。基于本研究，确定了额外的标准，以便在轻度头部外伤的儿童中检测到骨折，同时大幅降低累积成本和辐射暴露。尽管如此，颅骨骨折检测的临床重要性仍不确定。
