颈椎损伤早期并发症预防与处理

目的研究颈椎损伤的急救处理与早期并发症防治的重要性。方法回顾分析1996年1月～1998年12月收治的194例颈椎损伤患者的急救支持与10类715例并发症发生、治疗及预防措施。结果规范与程序化急救支持可明显降低早期死亡;肺部并发症是死亡的主要原因,早期并发症发生使关键性治疗无法实施或延迟,住院时间延长,住院费用增加。结论颈椎损伤的早期并发症的发生时间往往比较集中,也较有规律,如果能够预防和正确处理则可为治疗、神经功能恢复和康复创造有利条件。

Prevention and management of the early complication in acute cervical spine injury

Objective To assess the importance of initial resuscitation, prevention and management of the early complication in acute cervical spine injury. Methods Initial resuscitation of 715 early complications of 10 types and their prevention and management in 194 cases with acute cervical spinal cord injury admitted from 1996 to 1998 were reviewed. Results Mortality in early stage could be markedly reduced with routine and normal initial resuscitation, pulmonary complications were the main cause of death. Early complications delayed the possible surgical treatment, affected the treatment results, increased the cost and duration of hospitalization and difficulty of rehabilitation. Conclusions Early complications of cervical spine injury mostly occur in the first few days and can be predicted. Proper prevention and treatment of it will benefit the recovery of the neural lesion and following rehabilitation.