颈椎损伤的非手术早期处理

Early Management of Complication in Acute Cervical Spine Injury

目的 探讨颈椎损伤急救处理与早期并发症防治的重要性。方法 回顾分析 1996年 1月～ 1998年 12月收治的 194例颈椎损伤患者的急救支持与 8类 715例次并发症发生、治疗及预防措施。结果 规范与程序化急救支持可明显降低早期死亡 ;肺部并发症是死亡的主要原因 ,早期并发症发生使关键性治疗无法实施或延迟 ,住院时间延长 ,住院费用增加。结论 颈椎损伤的早期并发症的发生时间往往比较集中 ,也较有规律 ,如果能够预防和正确处理则可为治疗。

Objective To recognite the importance of early emergent management of and prevention therapy of complication in acute cervical spine injury. Methods early emergent support and 8 types and 715 early complications and their prevention and management in 194 cases with acute cervical spinal cord injury admitted through 1989 to 1995 were reviewed.Results Mortality in early stage can be markedly reduced with routinely and standardization of early emergency treatment obviously reduced the mortality procedure,p...