脊髓缺血性病变临床分析

目的探讨脊髓缺血性病变的临床特点。方法对我院近3年收治的5例脊髓缺血性病变患者的临床资料进行回顾性分析。结果全部患者均呈急性起病,有明确的脊髓横贯性损害症状和体征,均由脊髓缺血所致。结论虽然脊髓血管性病变的发生率远低于脑血管疾病,但对于有明确的脊髓横贯性损害的急性瘫痪者, 除通常考虑脊髓本身病变外,还应更全面地想到脊髓缺血性病变发生的可能,及时识别,尽早治疗。

Clinical analysis of ischemic disease of spinal cord

Objective To appraise the clinical characteristics of ischemic disease of spinal cord. Methods Retrospectively analyze the clinical data of 5 patients having ischemic disease of the spinal cord with review of literatures. Results The 5 cases were all acute in onset with obvious symptoms and signs of transected spinal lesion due to ischemia. Conclusions Although the incidence of vascular disease of the spinal cord is much lesser than that of cerebrovascular disease; but in case of acute paralysis of lower extremities, we should consider the possibility of ischemic disease of spinal cord , the transected spinal lesion. It should be differentiated, diagnosed and treated as early as possible.