多发伤中胸腰椎骨折误诊漏诊原因分析  

Causes of Delayed Diagnosis of Thoracolumbar Fractures in Multiple Injured Patients

作　　者：戴力扬[1] 姚维芳[1] 崔一民[1] 周青[1] 

机构地区：[1]上海第二医科大学附属新华医院骨科,上海市200092

出　　处：《骨与关节损伤杂志》2002年第5期326-328,共3页The Journal of Bone and Joint Injury

摘　　要：目的　分析多发伤病例胸腰椎骨折的误诊漏诊原因。方法　通过对 1 4 7例多发伤合并胸腰椎骨折临床资料的回顾性分析 ,研究误诊漏诊的原因。结果　 2 8例胸腰椎骨折被误诊漏诊 ,占 1 9%。原因包括病情危重、读片失误和病情较稳定但未行X线检查。结论　对于多发伤患者应进行详细全面的脊柱物理检查 ,有阳性发现时应行X线检查 。Objective To analyze the causes of delayed diagnosis of thoracolumbar fractures in multiple injured patients.Methods One hundred forty-seven patients with multitrauma and thoracolumbar fractures were retrospcectively reviewed to determine the incidence and causes of delayed diagnosis of thoracolumbar fractures.Results There was a delay in diagnosis of thoracolumbar fractures for 28 patients,representing 19% of all the cases of thoracolumbar fractures.The causes of delayed diagnosis included critical status of the patients,mistakes on reading radiographs and no radiography although the patients were stable.Conclusion A through and systematic examination is necessary for the patients with multitrauma.If there is any positive finding as to the clinical examination,further radiographic studies of the thoracolumbar spine should be performed.Routine CT scan should be recommended for all patients with or suspected of thoracolumbar injuries.

关 键 词：胸腰椎骨折 误诊 漏诊 原因分析 多发伤 

分 类 号：R683.2[医药卫生—骨科学]