急性颈髓损伤前路减压植骨融合术后的呼吸方法管理

Respiratory Method Analyse of Grafe bone Fusion Operating for Anterior Cervical Decompression in acute Cervical spinal cord ingury

目的:分析急性颈髓损伤前路减压植骨融合术后的呼吸变化,探讨其管理措施。方法29例急性颈髓损伤行前路减压植骨融合手术,男21例,女8例;年龄16～72岁,平均46.8岁;完全性截瘫11例,不完全性截瘫18例;损伤节段C1～C412例,C4～C717例。采用低流量吸氧、雾化吸入、应用抗生素、翻身、拍背、吸痰、气管切开给氧呼吸以及气管插管机械呼吸,加强呼吸训练,并注意出院后的指导。结果平均住院21天。所有病例均经3～24个月(平均13个月)的随访,死亡4例,死亡原因为多脏器功能衰竭,余25例呼吸功能完全恢复。结论改善呼吸功能、消除呼吸系统并发症、加强呼吸训练等是促进颈髓损伤植骨融合术后呼吸功能恢复的重要方法。

Objective： To analyse respiratory method of operating for anterior cervical decompression grafe-bone fusion in acute Cervical spinal cord ingury. Methods 29 cases for acute cervical spinal cord were operated with anterior cervical decompression. There were 21 man and 8 women, the mean age was 46.8 years（range, 16 to 72 years ）, Complete paraplegia 11 cases and incomplete paraplegia 18 cases, Injury level at C1^-C4 12 cases and C4^-C7 17 cases. Adopt low flow inbaieoxygen, Atomize inhale and antibiotic unde-inflammation, turnover and pat back and suck sputum, gibeing oxygen respiration of trache poerate ,machineing respiration of trache instudetract. Results： It has Live hospital 18~~30day. AS cases were followed up from 3 to 24 months（average 13 months）. 4 cases were dead, the reason is MSOF.it has completely renewed respiretory functional 25 patients. Conclusion： It commad respeatory infect and eliminat complication are important method of promote Cervical vertebras Grefe-bone fusion in acute Cervical spinal cord ingury..