Is a skull X-ray necessary after milder head trauma?
作者:
RosenørnJ.,
DuusB.,
NielsenK.,
KruseK.,
BoesenT.,
期刊:
British Journal of Neurosurgery
(Taylor Available online 1991)
卷期:
Volume 5,
issue 2
页码: 135-139
ISSN:0268-8697
年代: 1991
DOI:10.3109/02688699108998459
出版商: Taylor&Francis
关键词: Cerebral concussion;computer tomography;intracranial haematoma;skull fracture;X-ray
数据来源: Taylor
摘要:
During the 2-year period 1985–86 a total of 1,876 patients were admitted to our hospital after milder head trauma including cerebral concussion. Two hundred and eighty four patients who had a skull X-ray were not selected from guidelines. In 1,592 patients without a skull X-ray, signs of an intracranial complication developed in six cases and were verified by CT. In the 284 patients with skull X-ray a fracture was demonstrated in 25, and of these 25 patients only one patient disclosed a cerebral contusion. In the 259 patients with skull X-ray, but without demonstration of fracture, there were subsequently seen one subdural haematoma and one cerebral contusion. The incidence of intracranial complications in patients without and with skull X-ray with or without fracture does not differ significantly. In these circumstances we do not find any justification for routine skull X-ray after milder head trauma.
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