颈脊髓损伤的早期处理

Early Treatment of Cervical Spinal Cord Injury

目的:探讨临床对颈脊髓损伤的早期处理方法及原则。方法:随机选取来我院进行治疗的颈脊髓损伤患者86例,根据患者的适应情况分别行外固定术、药物治疗、高压氧、颅骨牵引、手术等治疗,并对其评价并发症和预后恢复情况。结果:经随访观察,86例病例中,住院期间死亡7例(8.1%),其中4例死于颈脊髓损伤并发症,3例死于脑出血、休克等其他合并伤;65例均获得随访,5例死于脊髓损伤后期并发症;Frank分级14例,6例神经功能有1-2级改善,8例无明显改善。结论:对脊髓损伤患者进行正确规范的早期处理及院前救治可相应减少死亡发生的几率,对患者的预后有重要的临床意义。

Objective： To explore the early stage of cervical spinal cord injury treatment and principles.Methods： A randomly selected to our hospital for treatment of 86 cases of cervical spinal cord injury patients, according to the adaptation of patients with external fixation were performed, drug therapy, hyperbaric oxygen, skull traction, surgery and other treatment, and recovery of its evaluation and prognosis of complications situation.Results： The follow-up observation, 86 cases in 7 patients died during hospitalization （8. l%）,of which 4 died of complications of spinal cord injury, 3 patients died of cerebral hemorrhage, shock and other associated injuries; 65 patients were followed up,5 patients died of late complications of spinal cord injury; Frank classification in 14 cases,6 cases of grade （1-2） to improve neurological function, 8 patients without significant improvement.Conclusion：The correct specification of spinal cord injury patients with early treatment and pre-hospital treatment may be a corresponding reduction in risk of death occurred, the prognosis of patients has important clinical significance.