Hills M W, Deane S A
Department of Surgery, Westmead Hospital, New South Wales, Australia.
J Trauma. 1993 Apr;34(4):549-53; discussion 553-4.
A series of 8285 blunt trauma victims from one hospital were analyzed to establish the possible association of cervical spine injuries with craniocerebral and facial injuries. Patients with clinically significant head injuries were at greater risk of cervical spine injuries than those without head trauma (4.5% vs. 1.1%, significant by Chi-squared analysis). Patients with Glasgow Coma Scale scores of 8 or less were at even greater risk of cervical spine injuries (7.8%). Facial injuries were not associated with cervical spine injuries. Procedures to achieve airway control in patients with serious head injuries must reflect these findings so that protection is afforded to the cervical spine during trauma resuscitation.
对一家医院的8285名钝器伤受害者进行了一系列分析，以确定颈椎损伤与颅脑及面部损伤之间可能存在的关联。有临床显著头部损伤的患者比没有头部外伤的患者发生颈椎损伤的风险更高（4.5%对1.1%，经卡方分析具有显著性）。格拉斯哥昏迷量表评分为8分及以下的患者发生颈椎损伤的风险更高（7.8%）。面部损伤与颈椎损伤无关。对严重头部损伤患者进行气道控制的操作必须考虑到这些发现，以便在创伤复苏过程中保护颈椎。
