汶川地震中脊柱骨折伤员的救治体会
|
摘要
[目的]分析汶川地震后脊柱骨折伤员的临床特点及救治经验。[方法]分析整理本科94例地震脊柱骨折伤员的临床资料,包括一般情况、受伤机制、合并伤情况及救治措施。[结果]在所有脊柱骨折伤员中,男性伤员的发病率明显高于女性伤员,21～60岁年龄段为脊柱骨折高发年龄段。同时,脊柱骨折的合并伤有54例,占57.4%。脊柱骨折分型显示屈曲压缩性骨折及爆裂型骨折共89例,占94.7%。[结论]地震伤脊柱骨折的伤员数量较大,送达时间集中,损伤严重,合并伤多,因而,科学组织,合理分工,可以在短时间内完成大批伤员的及时治疗。
[Objective]To analyze the clinical features of spinal fracture of the injured in Wenchuan Earthquake and to summarize the medical rescue.[Method]The clinical data of 94 injured cases with spinal fracture in the earthquake were collected and analyzed,including the general condition,injury mechanism,associated injuries and the rescue measures.[Result]The incident rate of the male was much higher than that of the female,the incidence of spinal fracture was high in 21~60-years old;the associated injuries were found in 54 cases,taking up 57.4%.The spinal fracture typing showed that 89 cases had flexion-compression fracture and burst fracture,taking up 94.7%.[Conclusion]Earthquakes cause a large amount of the injured with spinal fracture,who are evacuated within a concentrated time,the injuries are severe with many associated injuries.Scientific organization and reasonable division are critical in the immediate medical rescue of the injured in large quantity within the shortest time.
[Objective]To analyze the clinical features of spinal fracture of the injured in Wenchuan Earthquake and to summarize the medical rescue.[Method]The clinical data of 94 injured cases with spinal fracture in the earthquake were collected and analyzed,including the general condition,injury mechanism,associated injuries and the rescue measures.[Result]The incident rate of the male was much higher than that of the female,the incidence of spinal fracture was high in 21~60-years old;the associated injuries were found in 54 cases,taking up 57.4%.The spinal fracture typing showed that 89 cases had flexion-compression fracture and burst fracture,taking up 94.7%.[Conclusion]Earthquakes cause a large amount of the injured with spinal fracture,who are evacuated within a concentrated time,the injuries are severe with many associated injuries.Scientific organization and reasonable division are critical in the immediate medical rescue of the injured in large quantity within the shortest time.
引文
[1]Zinghi GP.著,姜保国,译.骨盆与髋臼骨折[M].北京:北京大学医学出版社,2005,37.
[2]郭友仁.唐山地震所致脊髓损伤患者(1976-1995)的康复工作[J].中国康复理论与实践,1996,3:122-123.
[3]宋跃明,刘立岷,龚全,等.前路减压固定植骨融合治疗胸腰椎骨折合并脊髓损伤[J].中华创伤杂志,2006,22:20-23.
[4]元虎,郑光彬,陈继良,等.前路减压融合结合前路或后路固定治疗严重的胸腰椎爆裂性骨折[J].中国矫形外科杂志,2007,14:1041-1044.
[5]卜保献,李志伟,石福明,等.跳跃性胸腰椎骨折的手术治疗[J].中国矫形外科杂志,2006,20:1592-1593.
[6]Been HD,Bouma GJ.Comparison of two types of surgery for thoraco-lumbar burst fractures:combined anterior and posterior stabilisation vs.posterior instrumentation only[J].Acta Neurochir(Wien),1999,4:349-357.
[2]郭友仁.唐山地震所致脊髓损伤患者(1976-1995)的康复工作[J].中国康复理论与实践,1996,3:122-123.
[3]宋跃明,刘立岷,龚全,等.前路减压固定植骨融合治疗胸腰椎骨折合并脊髓损伤[J].中华创伤杂志,2006,22:20-23.
[4]元虎,郑光彬,陈继良,等.前路减压融合结合前路或后路固定治疗严重的胸腰椎爆裂性骨折[J].中国矫形外科杂志,2007,14:1041-1044.
[5]卜保献,李志伟,石福明,等.跳跃性胸腰椎骨折的手术治疗[J].中国矫形外科杂志,2006,20:1592-1593.
[6]Been HD,Bouma GJ.Comparison of two types of surgery for thoraco-lumbar burst fractures:combined anterior and posterior stabilisation vs.posterior instrumentation only[J].Acta Neurochir(Wien),1999,4:349-357.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心