胸腰椎骨折并发消化道功能障碍及几种治疗方法的比较

Fracture of thoracic lumbar vertebra complicate digestive functional obstruction and compared the some methods of treatment

对228例胸腰椎骨折（无截瘫）患者的观察统计，发现骨折早期可出现腹胀、腹痛、大小便功能障碍等一系列消化功能障碍表现，发生率为88％，形成其特有的并发症。其发生原因与骨折创伤造成支配胃肠功能的植物神经被累及有关。此并发症易被忽视，治疗不规范。作者对此症选择了五种不同的方法进行治疗，比较相互效果，认为早期口服吗叮啉、西沙必利治疗方法简便，效果较优，有效率达92％。

228 cases of thoracic lumbar vertebra fracture were observed on the obtain complications such as digestive functional disturbance,abdomind pain,abdominal distention,vomiting,constipation,anuresis might occurred in the early stage. The complication rate were 88 per cent. The cases was connected with vegetative nerve plexus. The spontaneous complication was ignored comnonly. Five methods of treatments were used and the results compare each other. Per os Domperidoni or Cisapridi gave good therapeatic results.