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急诊科颈椎损伤的放射学回顾:高级创伤生命支持(ATLS)有作用吗?

A radiological review of cervical spine injuries from an accident and emergency department: has the ATLS made a difference?

作者信息

Palmer S H, Maheson M

机构信息

Department of Orthopaedics and Trauma, Cardiff Royal Infirmary, South Wales, UK.

出版信息

J Accid Emerg Med. 1995 Sep;12(3):189-90. doi: 10.1136/emj.12.3.189.

Abstract

The importance of visualizing the entire cervical spine on radiological examination in patients with cervical trauma is well known. A review of the cervical films of 98 patients attending an accident and emergency (A&E) department was undertaken in order to assess the adequacy of imaging. It was found that 33.7% of the films were not sufficient to exclude fracture or dislocation of the cervical spine. The number of patients with inadequate views was significantly reduced when an advanced trauma life support trained senior doctor was involved.

摘要

在颈椎创伤患者的放射学检查中对整个颈椎进行可视化的重要性是众所周知的。为了评估成像的充分性,对98名就诊于急诊(A&E)部门的患者的颈椎X光片进行了回顾。结果发现,33.7%的X光片不足以排除颈椎骨折或脱位。当有接受过高级创伤生命支持培训的资深医生参与时,视野不充分的患者数量显著减少。

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