颅脑损伤并颈椎颈髓损伤治疗体会
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2010年06期
- 页码:
- 504-507
- 栏目:
- 论著
- 出版日期:
- 2010-12-30
文章信息/Info
- Title:
- Treatment of head injury combined with cervical spine and spinal cord injury
- 作者:
- 周锡渊；刘开俊
- 430030湖北 武汉，华中科技大学同济医学院附属同济医院创伤外科
- Author(s):
- ZHOU Xiyuan; LIU Kaijun
- Department of Trauma Surgery,Tongji Medical College of Huazhong University of Science and Technology,Wuhan430030，China
- 分类号:
- R651.1
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的探讨颅脑损伤合并颈椎骨折颈段脊髓损伤（颅颈联合伤）的诊疗经验。方法 回顾性分析58例颅脑损伤并颈椎颈髓损伤病人，首诊常规颈椎制动和普查影像学资料，筛选此类病例进一步分析研究。结果作者医院创伤外科2007~2008年共收治颅脑损伤患者1107例，通过筛选颅颈联合伤患者共58例。颈椎损伤治疗中，11例予以颈前路椎板减压+椎间盘摘除+自体骨移植复位内固定术，余47例予以颅骨牵引或外固定器械治疗。颅脑损伤治疗中，21例急诊行颅脑手术治疗，非手术治疗37例。本组患者存活55例，死亡3例，生存率94.8%。按格拉斯哥预后评分(GOS)评定为Ⅰ级3例，Ⅱ级2例，Ⅲ级3例，Ⅳ级7例，Ⅴ级43例。结论颅颈联合伤发病率较高，本组约占5.2%。颅颈联合伤的主动普查（影像学）和颈部保护制动，防止脊髓二次损伤，对降低漏诊、提高临床治愈率有重要意义。
参考文献/References
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备注/Memo
- 备注/Memo:
- -
