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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
Diagnosis and treatment of spine or spinal cord injuries combined with severe traumatic brain injuries
【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。
【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.
【Key words】 Spinal injury; Spinal cord injury; Severe traumatic brain injury; Diagnose;
- 【文献出处】 中国矫形外科杂志 ,The Orthopedic Journal of China , 编辑部邮箱 ,2005年10期
- 【分类号】R651.15;R683
- 【被引频次】2
- 【下载频次】75