摘要
目的 探讨合并胸腹闭合性损伤的胸椎创伤的临床特点。 方法 对 1996年 1月至 2 0 0 1年 6月急诊收治的 2 5 9例胸椎创伤患者进行回顾性分析 ,总结其中合并胸腹闭合性损伤的胸椎创伤患者的临床特点。 结果 112例胸椎创伤合并不同程度的胸腹闭合性损伤 ,占胸椎创伤总数的 43 .2 % (112 2 5 9)。交通伤为首位致伤原因。与下胸椎创伤相比 ,上胸椎创伤遭受的致伤暴力大 ,更易合并胸腹闭合性损伤。肺部并发症是死亡的主要原因。上胸椎创伤全瘫患者经手术治疗未能改善自主运动功能。 结论 上胸椎创伤容易合并胸腹闭合性损伤的原因与其独特的解剖学特征有关。胸椎创伤患者应常规急诊行腹部超声检查 ,以避免因脊髓损伤而隐匿的腹部闭合性损伤的漏诊。在决定是否早期手术减压时 ,应充分考虑是否合并胸腹闭合性损伤 。
Objective To explore the therapeutic methods for thoracic spinal trauma complicated by close thoracoabdominal injuries. Methods A retrospective study was carried out in 259 cases with thoracic spinal trauma admitted in the Emergency Department from January 1996 to June 2001, of whom, the clinical features were summarized. Results Of all, 112 cases were complicated by close thoracoabdominal injuries in various degrees, which opccupied 43.2% (112/259) of total thoracic spinal trauma. Traffic accident was the most common cause. Compared with the lower thoracic spinal trauma, the upper thoracic spinal trauma was more severe and could be more easily complicated by closethoracoabdominal injury. Pulmonary complications were the most common causes for death. Operation could not improve paliocinetic function of completely paraplegic patients. Conclusions The reason that upper thoracic spinal trauma is easily complicated by closethoracoabdominal injuries relates to its special anatomical feature. Routine ultrasonic examination should be performed to avoid missed diagnosis of latent closeabdominal injuries due to the spine injury. We should evaluate the possible associated close thoracoabdominal injuries and their severity before an operation for decompression.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2003年第2期93-95,共3页
Chinese Journal of Trauma
关键词
胸腹闭合性损伤
胸椎创伤
并发症
脊髓损伤
Trauma, multiple
Thoracic vertebrae
Hemopneumothorax
Close thoracoabdominal injuries
