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[确定挥鞭伤后颈椎的状况]

[Determining the status of the cervical spine after whiplash injury].

作者信息

Dvorak J, Ettlin T, Jenzer G, Mürner J, Radanov B P, Walz F

出版信息

Z Unfallchir Versicherungsmed. 1994 Jul;87(2):86-90.

PMID:7946697
Abstract

The results of medical investigations following acceleration mechanism to the cervical spine (so called "soft tissue neck injury") are to be described in common diagnostic terms. Biomechanical and legal considerations are beyond medical competence. In certain cases, the clinical examination must be completed in cooperation with specialists. Within the entire medical context, the neuropsychological and neuropsychiatric assessment may contribute to a comprehensive understanding of the consequences. In cases of litigation, the full array of facts, like the patients' previous history, and differential diagnoses, have to be drawn to attention. At present, compensation takes place only exceptionally and in a limited range, if an impairment by an accompanying brain injury is excluded.

摘要

对颈椎加速机制(所谓“软组织颈部损伤”)进行医学检查的结果,应以常见的诊断术语来描述。生物力学和法律方面的考量超出了医学范畴。在某些情况下,临床检查必须与专家合作完成。在整个医学背景下,神经心理学和神经精神病学评估可能有助于全面理解其后果。在诉讼案件中,必须注意所有事实,如患者既往病史和鉴别诊断。目前,只有在排除伴随脑损伤导致的损害的情况下,才会偶尔且在有限范围内进行赔偿。

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