颈脊髓损伤后早期并发症的处理及其治疗的研究进展

Research progress on managementand treatment of early complications of patients after cervical spinal cord injury

颈椎外伤是临床上的常见病和多发病,主要源于交通事故、高处坠落或运动伤等。颈椎外伤后往往伴有相应节段的脊髓损伤,占全部脊髓损伤(spinal cord injury,SCI)的20%~25%;。因其具有极高的致残率及致死率,一直是医学上的治疗重点,其治疗效果与脊髓损伤程度呈负相关。呼吸功能受损是它早期的并发症,如果不及时处理,可能导致严重的后果,尤其是中老年患者,可能需要呼吸机辅助呼吸,甚至气管切开。目前,颈脊髓损伤的治疗仍存在不少争议。本文就颈脊髓损伤对呼吸功能的影响及其治疗进行综述。

Cervical spine injury is a common and frequently-occurring disease in clinical practice,mainly caused by traffic accidents,falling from a height or sports injuries.Cervical spine trauma is often accompanied by the spinal cord injury of corresponding segments,accounting for about 20%to 25%of the total spinal cord injury;.Due to its high rate of disability and mortality,it has always been the focus of medical treatment,and its therapeutic effect is negatively correlated with the degree of spinal cord injury.Respiratory impairment has been found to be the early complications of cervical spinal cord injury.If not handled properly in time,it may lead to serious consequences,especially in middle-aged and elderly patients,who may need ventilator assisted breathing or even tracheotomy.However,there are still many controversies in the treatment of cervical spinal cord injury at present.Authors in this article reviewed the effects of cervical spinal cord injury on respiratory function and its treatment.