Iatrogenic skull fracture depression by use of a head clamp.
Iatrogenic skull fracture depression by use of a head clamp.
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使用头夹造成医源性颅骨骨折凹陷。
DOI：
10.1001/jama.1976.03260300040031
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发表时间：
1976
期刊：
影响因子：
--
通讯作者：
M. Biber
中科院分区：
文献类型：
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作者：
M. Biber
颅骨X线片是在大多数严重头部创伤到达急救医疗机构的情况下获得的。尽管有证据表明这些研究在没有合理怀疑有凹陷性骨折或异物穿透头皮或头骨的患者中的价值值得怀疑，但这种做法仍然存在。1、2当头部创伤受害者是不能配合诊断X光检查程序的幼儿或婴儿时，适当的胶片通常需要头部固定。在常规X线片和放射性同位素脑扫描中，金属泡沫填充的头夹现在通常用于头部固定。3我们报告一例正位X线片显示的骨折边缘凹陷是由于使用标准的约束夹施加侧向的头部加压造成的。由于这一医源性凹陷的中心位置，进行了外科探查。1974年8月12日波士顿市立医院收治1例6周大男婴
SKULL roentgenograms are obtained in most cases of severe head trauma reaching emergency medical facilities. This practice persists despite evidence of the questionable value of these studies in patients not reasonably suspected of having depressed fractures or foreign body penetration of scalp or skull. 1,2 When the head trauma victims are young children or infants unable to cooperate with diagnostic roentgenographic procedures, adequate films often require head fixation. Metal foam-padded head clamps are now commonly used for head immobilization during routine roentgenography as well as radioisotope brain scanning. 3 We report a case in which depression of a fracture edge shown by an anteroposterior roentgenogram was caused by lateral head-compression applied by means of a standard restraining clamp. Because of the central location of this iatrogenic depression, a surgical exploration was done. Report of a Case A 6-week-old male infant was admitted to Boston City Hospital on Aug 12, 1974,