Jergens M E, Morgan M T, McElroy C E
West J Med. 1977 Jul;127(1):1-4.
Based on the findings of a five-month study, the authors suggest that physicians should be more discriminating in using radiography of the skull, especially when dealing with patients who are minimally injured. The low incidence of fractures disclosed by radiography in patients with insignificant head injuries is a primary factor in arriving at this recommendation. A lack of correlation between skull fractures, and cerebral injury, and subsequent therapy is another factor. Finally, the prohibitive cost of medical care generally (and radiographs in particular) makes greater selectiveness imperative. Although the number of cervical spine fractures in this study was small, the findings indicate that based on history and physical examination there can and should be increasing selectivity in ordering routine cervical spine series, without increasing the risk of missed fractures.
基于一项为期五个月的研究结果，作者建议医生在使用颅骨X光检查时应更加谨慎，尤其是在处理轻伤患者时。对于头部轻伤患者，X光检查所发现的骨折发生率较低是得出这一建议的主要因素。颅骨骨折、脑损伤与后续治疗之间缺乏相关性是另一个因素。最后，一般医疗护理（尤其是X光检查）的高昂费用使得更具选择性势在必行。尽管本研究中颈椎骨折的数量较少，但研究结果表明，根据病史和体格检查，在开具常规颈椎系列检查单时，可以而且应该提高选择性，同时又不增加漏诊骨折的风险。
