脊髓震荡伤的诊断和治疗

Diagnosis and treatment clinic analyso of the spinal cord concussion

目的探讨脊髓震荡伤(spinal cord concussion,SCC)的诊治方法。方法报告脊髓震荡伤17例,对其致伤原因、受力部位、临床表现及治疗恢复经过进行回顾性分析。结果17例脊髓震荡伤患者经过治疗后全部恢复正常。结论脊髓震荡伤是外力作用于脊柱使脊髓受到震动而引起的脊髓短期功能障碍。其特点为临床辅助检查难以找到实质性脊髓损伤变性的证据,但有“损伤平面”以下脊髓功能障碍,并在短期内可以恢复。在排除了脊髓器质性损伤压迫以后,及时做出诊断,及早卧床制动,用腰围、颈围固定或牵引脊柱,大剂量激素、脱水剂等综合治疗,对于患者症状及早缓解、功能尽早恢复有积极的作用。

Objective Discuss the diagnosis and treatment of the S. C, C, （Spinal Cord Concussion）, Methods Reported the 17 cases of the SCC about the caused, the place, the clinical manifestation and the pass through of the treatment, Results Whole of the 17 cases restores completely after the treatment, Conclusion The SCC is barriers of the functions of spinal cord short-term caused by the external force does.There are characteristics by difficulty to found the evidence of the spinal cord damage with the common clinical assistance examines, Below ＂the damage plane＂; there are functional barriers but may be restores in the short-term. After except the denatured damage of the spinal cord or by oppression; the diagnosis may be promptly make, Treated by lay up, fixed or traction early for the wounded with large dose hormone, Vitamin, dehydration ect, Its possible to alleviates the symptoms; to early resumes.