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脊柱脊髓损伤合并重型颅脑损伤的早期诊治体会
引用本文:崔连旭,王辉,冯宗权. 脊柱脊髓损伤合并重型颅脑损伤的早期诊治体会[J]. 中国矫形外科杂志, 2005, 13(10): 741-743
作者姓名:崔连旭  王辉  冯宗权
作者单位:广东省佛山市第一人民医院,528000
摘    要:目的:探讨早期诊治脊柱、脊髓损伤合并重型颅脑损伤病例,降低伤残率、死亡率的有效措施。方法:回顾性分析本院45例患者,及采取的相应诊断治疗措施。结果:临床治愈26例,好转14例,死亡5例。结论:骨科、神经外科和急诊科医生必须给予足够的重视,早期正确检查、及早诊断和有效治疗至关重要,常规行头部和脊柱脊髓影像学检查十分必要,进一步可采取CT三维重建、MRI等检查,提高早期诊断率,对降低伤残与死亡率有着十分重要的临床意义。

关 键 词:重型颅脑损伤 脊柱脊髓损伤 诊治体会 CT三维重建 回顾性分析 影像学检查 早期诊断率 早期诊治 损伤病例 治疗措施 临床治愈 神经外科 有效治疗 临床意义 死亡率 伤残率 急诊科 早诊断 MRI
文章编号:1005-8478(2005)10-0741-03
修稿时间:2005-03-21

Diagnosis and treatment of spine or spinal cord injuries combined with severe traumatic brain injuries
CUI Lian-xu,WANG Hui,Feng Zong-quan. Diagnosis and treatment of spine or spinal cord injuries combined with severe traumatic brain injuries[J]. The Orthopedic Journal of China, 2005, 13(10): 741-743
Authors:CUI Lian-xu  WANG Hui  Feng Zong-quan
Affiliation:CUI Lian-xu,WANG Hui,FENG Zong-quan.The First Hospital of Foshan,Guangdong 528000
Abstract:Objective:To discuss the treatment of spine or spinal cord injuries combined with severe traumatic brain injuries and measures to decrease invalidity and mortality rate.Method:Forty-five cases with spine or spinal cord injuries combined with severe traumatic brain injuries were analyzed retrospectively.Result:Among all the cases, 26 were cured, 14 were improved, 5 were dead.Conclusion:Early examination, early diagnose and effective treatment are very important. Routine head CT plain scan and spine X-ray photographs are needed and 3 dimension CT check or MRI should also be taken if necessary. It has clinical significance to improve earlier period diagnosis rate and to decrease invalidity and mortality rate.
Keywords:Spinal injury  Spinal cord injury  Severe traumatic brain injury  Diagnose
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