【摘要】 目的探讨颈椎脊髓损伤围手术期的呼吸管理,提高临床疗效。方法本组66例颈椎脊髓损伤患者,前路手术治疗54例,后路手术5例,前后路联合手术7例。气管切开8例,气管插管6例,机械通气10例,合并呼吸道感染11例。结果随访半个月~6个月,呼吸功能恢复者63例,死亡3例。结论颈椎脊髓损伤围手术期呼吸管理是颈椎手术疗效的关键因素,支气管清洁技术和呼吸肌的功能训练是围手术期呼吸管理措施的重点。更多还原

【Abstract】 Objective To investigate the respiratory control over the patients with cervical spinal cords injuries so as to improve clinicaloutcomes.Methods There are 66 cases in this group, 54 cases were operated through anterior approach,5 cases through posterior approach,7 cases through combined approach.Tracheotomies were done in 8 patients;trachea intubations were done in 6 patients;mechanical ventilation were done in 10 patients,11 cases were assoiated with respiratory tract infection.Results The respiratory function of 63 patients recovered and 3 cases died during the follow-up between 0.5 months and 6 months postoperatively. Conclusion The perioperative respiratory control over the patients with cervical spinal cord injuries plays pivotal role in the surgical outcomes of the cervical operations.In the perioperation,the depuratory technology on the bronchi and the functional exercise of respiratory muscle are the focal point of respiratory management over the patients with cervical spinal cords injuries.更多还原