颅脑损伤合并颈椎颈髓损伤手术研究

Surgical study of craniocerebral injury combined with cervical spinal cord injury

在颅脑损伤患者中有较多患者同时存在颈椎颈髓损伤,颈椎颈髓损伤存在一定的漏诊,而确诊颈椎颈髓损伤后的治疗时机、手术方案仍存在一定争议。该文就颅脑损伤合并颈椎颈髓损伤患者早期诊断、院前急救、如何提高确诊率、合并伤治疗方式选择、颈部手术方案及时机选择、术后注意事项、护理康复、前沿进展等方面进行综述,对提高多学科、多科室协同治疗多发伤有一定帮助,可在一定程度减少漏诊,提高诊断准确性,提高救治效果。

There are a high number of patients with craniocerebral injury who has cervical spinal cord injury at the same time,and there are some missed diagnosis of cervical spinal cord injury.However,there are still some disputes about the treatment time and surgical scheme after the diagnosis of cervical spinal cord injury.This paper reviews the early diagnosis and pre hospital first aid of craniocerebral injury combined with cervical spinal cord injury,how to improve the diagnostic rate of craniocerebral injury combined with cervical spinal cord injury,the choice of treatment methods of combined injury,the timely choice of neck operation scheme,postoperative precautions,nursing rehabilitation and frontier research.It is helpful to improve the multi-disciplinary and multi department collaborative treatment of multiple injuries.It can reduce missed diagnosis to a certain extent,improve diagnostic accuracy and improve treatment effect.