5.12地震中颈椎骨折伴颈脊髓损伤后肺部并发症救治中的护理体会

英文篇名：THE EXPERIENCE OF MANAGING RESPIRATORY COMPLICATIONS IN VICTIMS WHO SUFFERED FROM CERVICAL SPINE FRACTURES AND CERVICAL CORD INJURY IN 5.12 EARTHQUAKE
中文刊名：泸州医学院学报
英文刊名：Journal of Luzhou Medical College
作者：申燕 ; 陈惠 ; 陈琳
英文作者：Shen Yan ; et al Department of Orthopedics ; the First Affiliated Hospital ; Luzhou Medical College ; Luzhou 646000
中文关键词：地震 ; 脊髓损伤 ; 颈椎骨折 ; 肺部并发症
英文关键词：Earthquake ; Spinal cord injury ; Cervical spine fracture ; Respiratory complication
出版日期：2009-04-20
机构：泸州医学院附属医院脊柱外科;
年：2009
期：02
出版单位：泸州医学院学报

摘要

目的:分析四川大地震中颈椎骨折伴脊髓损伤患者肺部并发症的发生原因并总结护理体会。方法:5.12地震中我院收治颈椎骨折伴脊髓损伤患者9例,其中6例发生肺部并发症采取非手术治疗。结果:伤后5天内出现肺部并发症6例,其中肺炎3例,通气障碍2例,肺水肿和血气胸1例,经积极的呼吸道管理,肺部并发症都得到有效控制。结论:颈椎骨折伴脊髓损伤急性期(<5天)常发生严重肺部并发症,以高位损伤(C4以上)、合并胸部损伤、高龄、有肺部疾患史与吸烟史者更易发生,早期发现,内科治疗效果好。
Objective:To investigate the risk factors of respiratory problems complicated to cervical spine fractures and cervical cord injury in earthquake.Methods:Among 9 patients with cervical spine fractures and cervical cord injuries,6 cases experienced respiratory complications which received nonsurgical treatment.Results:All six patients with respiratory complications appeared during the first five days after injury,3 cases had pneumonia,2 had ventilatory failure,one had pulmonary edema and pneumo-hemothorax.After aggressive respiratory management,all pulmonary complications were controlled efficaciously.Conclusion:The acute injured individuals with cervical spine fractures and cervical cord injury often experienced severe respiratory complications during the acute stage(<5d).High level of injury,chest trauma,aged,preexisting pulmonary illnesses and smoking history are the high risk factors.Early discovery and medical treatment have good therapeutic efficacy.

引文

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