针对轻微头部损伤的加拿大头颅 CT 规则

 

	考虑行头颅 CT : 0 高危标准 以及 1 中危标准
	需行头颅 CT : 1 高危标准 以及 0 中危标准
高危标准
		损伤后 3 小时时格拉斯哥昏迷量表评分<15
		可能有开放性或凹陷性颅骨骨折
		颅底骨折的任何体征
		损伤后有≥2 次的呕吐
		患者年龄＞65 岁
中危标准
		无法回忆起损伤前 30 分钟内的事情
		损伤机制为具有危险性的行为或事件

 

 

 

 

参考

1. Qushmaq I, Cook DJ. The Canadian CT Head Rule was as sensitive as, but more specific than, the New Orleans Criteria for identifying minor head injury. ACP J Club. 2006 Mar-Apr;144(2):53. PubMed ID: 16539368
2. Stiell IG, Clement CM, Rowe BH, et al. Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury. JAMA. 2005 Sep 28;294(12):1511-8. PubMed ID: 16189364
3. Stiell IG, Wells GA, Vandenheen K, et al. The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001; 357: 1391-6. PubMed ID: 11356436
4. Bloch R. A decision rule with 7 clinical criteria identified patients with minor head injury who did not need computed tomography. ACP J Club. 2001 Mar-Apr; 134:74.
5. Haydel MJ, Preston CA, Mills TJ, et al. Indications for computed tomography in patients with minor head injury. N Engl J Med. 2000 Jul 13;343(2):100-5. PubMed ID: 10891517