2007年天津市区部分三级医院住院外伤性脊髓损伤患者分析

Characteristics of Urban Inpatients with Traumatic Spinal Cord Injuries in Tianjin,2007

目的探讨2007年天津市区外伤性脊髓损伤住院患者的特点。方法对2007年天津市区主要三级甲等医院住院的外伤性脊髓损伤病例进行回顾性调查分析。结果共收治外伤性脊髓损伤住院患者73例,其中男性57例,女性16例。平均年龄51.34岁,老年人占26%。以无职业者及工人为主。跌倒占42.5%,交通事故占35.6%。颈脊髓损伤最常见。ASIA分级以D、A级常见。D级损伤患者保守治疗和手术治疗的效果无显著性差异。结论天津市区脊髓损伤患者的年龄较高,跌倒是主要致伤原因。

Objective To investigate the characteristics of traumatic spinal cord injury （TSCI） urban inpatients of Tianjin in 2007.Methods Inpatients with TSCI of 8 hospitals in Tianjin in 2007 were reviewed.Results There were 73 patients in total.Mean age was （51.34±14.597） years.Male：Female was 3.56：1.Falling,motor vehicle accidents （MVC） were the main causes of TSCI.The cervical spinal cord injuries were predominant.26% were complete injury and 74% were incomplete.6 cases were dead.Patients with ASIA grade D recover well.Conclusion For the TSCI,the ages of patients increases and falling is the main cause.