Shaffer M A, Doris P E
Ann Emerg Med. 1982 Jun;11(6):303-6. doi: 10.1016/s0196-0644(82)80128-5.
A three-year retrospective analysis was conducted at a 280-bed suburban community hospital with 27,000 annual emergency department visits. All patients with a discharge diagnosis of skull fracture were studied. There were 72 patients with skull fractures. Thirty-two (44.4%) of these patients had basilar skull fractures, located predominantly in the occipital bone. Of these, 19 (59.3%) had normal antero-posterior and lateral views, with the skull fracture detected only on the Towne view. Five of these patients had depressed skull fractures and three had intracranial lesions requiring surgical intervention. We conclude that, when the decision is made to obtain portable skull films, a Towne view must be included, as well as the antero-posterior and lateral views, to increase the diagnostic yield of portable skull films in patients with skull fractures.
在一家拥有280张床位的郊区社区医院进行了一项为期三年的回顾性分析，该医院每年有27000人次急诊就诊。对所有出院诊断为颅骨骨折的患者进行了研究。共有72例颅骨骨折患者。其中32例（44.4%）为颅底骨折，主要位于枕骨。其中，19例（59.3%）前后位和侧位片正常，颅骨骨折仅在汤氏位片上被发现。这些患者中有5例为凹陷性颅骨骨折，3例有颅内病变需要手术干预。我们得出结论，当决定获取便携式颅骨片时，必须包括汤氏位片以及前后位和侧位片，以提高便携式颅骨片对颅骨骨折患者的诊断率。
