骨科英文书籍精读（261）｜股骨干骨折X线表现（内附避坑秘籍）
我们正在精读国外经典骨科书籍《Apley’s System of Orthopaedics and Fractures》，想要对于骨科英文形成系统认识，为以后无障碍阅读英文文献打下基础，请持续关注。
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X-ray
It may be difficult to obtain adequate views in the Accident and Emergency Room setting, especially views that provide reliable information on proximal or distal fracture extensions or joint involvement; these can be postponed until better facilities and easier patient positioning are possible. But never forget to x-ray the hip and knee as well (Figure 29.21). A baseline chest x-ray is useful as there is a risk of adult respiratory distress syndrome (ARDS) in those with multiple injuries.
The fracture pattern should be noted; it will form a guide to treatment.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
multiple injuries多发性损伤
With this combination of injuries the
dislocation is frequently missed; the safest plan is to x-ray
the pelvis with every fracture of the femoral shaft.
对于这种复合伤来说，髋脱位常常被漏诊;所以，最安全的方法就是每次股骨干骨折时均需要拍骨盆x线片。避坑秘籍
百度翻译：
X射线
在事故室和急诊室可能很难获得足够的视图，尤其是提供近端或远端骨折延伸或关节受累的可靠信息的视图；这些视图可以推迟到更好的设施和更容易的患者定位。但千万别忘了对臀部和膝盖也进行x光检查（图29.21）。多发伤患者有发生成人呼吸窘迫综合征（ARDS）的风险，因此基线胸部x光检查是有用的。
应注意骨折类型；它将指导骨折治疗。