颈椎脊髓损伤早期死亡时限分布

目的 探讨颈椎脊髓损伤早期死亡的时限分布。方法 回顾性分析一组颈椎脊髓损伤死亡病例的一般状况、受伤原因、脊柱损伤节段、脊髓损伤严重程度、合并伤、颈椎脊髓损伤影像学表现、治疗方法、过程及结果、死亡原因、受伤至人院时间、受伤至死亡时间。结果受伤至死亡时间24h内3例,25～48h3例,49～72h5例,73h～7d16例,8～14d16例,15～21d8例,22～28d6例,29～35d1例,36～42d1例,43～49d2例,50～56d1例,57d以上1例。颈椎脊髓损伤早期死亡共63例,伤后1周内死亡27例,占42．8％;伤后2周内死亡43例,占68．3％;伤后4周内共死亡57例,占90．5％;4周以上仅6例,占死亡总例数的9．5％。结论颈椎脊髓损伤死亡高峰在伤后1周内,主要死亡时间为伤后2周内,其次为伤后3～4周,90．5％死亡病例死于伤后4周内。呼吸功能衰竭为颈椎脊髓损伤早期死亡的首要原因。

Time of early death after cervical spinal cord injury

OBJECTIVE: To investigate the distribution of time of early death in the patients with cervical spinal cord injury (CSCI). METHODS: The clinical data of 63 CECI patients, including demographics, mechanism of injury, cervical spinal cord injury level and severity, associated injury, radiographs, management, and the causes of death, the time from injury to hospitalization and the time from injury to death were retrospectively analyzed so as to detect the time and cause of early death. RESULTS: The 63 CDCI patients died in early stage. 27 of the 63 patients (42.8%) died within a week after CSCI; 43 patients (68.3%) died within two weeks after CSCI, 57 patients (90.5%) died within four weeks after CSCI, and 6 patients (9.5%) died after four weeks after CSCI. CONCLUSION: The peak time of death is a week after CSCI. The major time of death is two weeks after CSCI. 90.5% cases died within four weeks. Respiratory failure is the leading cause of early death in patients with CSCI.