Boulis Z F, Dick R, Barnes N R
Br J Radiol. 1978 Nov;51(611):851-4. doi: 10.1259/0007-1285-51-611-851.
One thousand and thirty-two consecutive children with head injuries have been studied. All were outpatients, and 1000 had X-rays requested and performed. Of those X-rayed, only 21 (2.1%) had fractures, whilst 129 cases (12.9%) required admission for observation. No patient developed complications from their injuries. The presence or absence of a fracture neither correlated with the clinical situation nor affected the management. The fact that two thirds of all new casualty attendances at UK hospitals have an X-ray examination (British Medical Journal, 1977) is an unjustified wastage. Much of this wastage is related to skull X-rays in trauma, especially in children. In only a minority of patients does the presence of a fracture result in any modification of treatment. Some suggestions as to indications for skull X-rays in trauma have been made to help select patients for radiography and to avert wastage.
对1032名连续的头部受伤儿童进行了研究。所有患儿均为门诊患者，其中1000人接受了X线检查并已进行该项检查。在接受X线检查的患儿中，只有21例（2.1%）发生骨折，而129例（12.9%）需要住院观察。没有患者因受伤出现并发症。骨折的有无既与临床情况无关，也不影响治疗。英国医院所有新急诊就诊患者中有三分之二接受X线检查（《英国医学杂志》，1977年），这是一种不合理的浪费。这种浪费很大一部分与创伤时的颅骨X线检查有关，尤其是在儿童中。只有少数患者骨折的存在会导致治疗的任何改变。已就创伤时颅骨X线检查的指征提出了一些建议，以帮助选择进行影像学检查的患者并避免浪费。
