CAJ | 학술논문

目的总结交通伤致颈椎挥鞭样损伤的临床特点,为急诊诊治提供参考.方法对2002年1月至2008年12月急诊收治的交通伤所致的263例颈椎挥鞭样损伤患者的临床表现、影像学检查结果和急诊早期处理方法进行回顾性分析总结.结果该损伤临床表现呈多样性,以颈肩枕部疼痛不适和压痛最常见,多数患者伤后数小时内出现症状,但约1/3患者症状迟发;影像学检查中,X线片阳性结果最低,CT和MRI阳性结果高;222例保守治疗和41例手术治疗的患者,经平均7.2个月随访总体治疗效果满意.结论根据交通事故中驾乘人员易出现颈椎挥鞭样损伤的创伤条件,结合临床表现可以对其进行早期诊断、及时治疗,多数预后较好,综合应用影像学检查町避免漏诊,CT检查可以作为诊断的重要手段.
목적 총결교통상치경추휘편양손상적림상특점,위급진진치제공삼고.방법 대2002년1월지2008년12월급진수치적교통상소치적263례경추휘편양손상환자적림상표현、영상학검사결과화급진조기처리방법진행회고성분석총결.결과 해손상림상표현정다양성,이경견침부동통불괄화압통최상견,다수환자상후수소시내출현증상,단약1/3환자증상지발;영상학검사중,X선편양성결과최저,CT화MRI양성결과고;222례보수치료화41례수술치료적환자,경평균7.2개월수방총체치료효과만의.결론 근거교통사고중가승인원역출현경추휘편양손상적창상조건,결합림상표현가이대기진행조기진단、급시치료,다수예후교호,종합응용영상학검사정피면루진,CT검사가이작위진단적중요수단.
Objective To summarize the clinical features of whiplash injury to the cervical spine caused bv traffic accident for the emergency diagnosis and treatment. Methods Two hundred and sixty-three drives and passengers with whiplash injury caused by a road accident were reviewed.The clinical manifestations,imaging examinations,and early emergency treatments of the injury were analyzed. Results Among its many clinical manifestations,neck pain and tenderness was the common symptom,emerging within several hours after the injury.However,the clinical manifestations were delayed in about 1/3 cases.The positive results of X-ray films were much lower compared with CT and MRI.Followups for a mean of 7.2 months revealed 222 satisfactory conservative cases and 41 satisfactory operative cases. Conclusions The whiplash injury can be diagnosed and treated early according to the clinical manifestations and likely conditions in the traffic accident.The prognosis can be fine in most cases.Different imaging examinations,especially CT,can reduce misdiagnosis.