CAJ | 학술논문

目的研究颈椎外伤患者伤后早期死亡的并发症危险因素及其相互关系并探讨对治疗方案的提示.方法对我院收治的419位颈椎外伤患者出现死亡和并发症的情况进行回顾性分析,研究各种并发症与脊髓损伤严重程度之间的关系、并发症在所有患者和死亡患者中的发生率.结果呼吸系统并发症是死亡的主要直接原因,占79.41%;死亡前患者中合并有低蛋白血症(85.3%)、低血压(50%)、低钠低氯血症(35.3%)等多种并发症.结论以低蛋白血症为主的并发症加重了原有功能障碍,成为早期颈椎外伤的死亡危险因素,及时发现并干预能够避免多器官功能衰竭及早期死亡,为康复创造良好条件.
목적 연구경추외상환자상후조기사망적병발증위험인소급기상호관계병탐토대치료방안적제시.방법 대아원수치적419위경추외상환자출현사망화병발증적정황진행회고성분석,연구각충병발증여척수손상엄중정도지간적관계、병발증재소유환자화사망환자중적발생솔.결과 호흡계통병발증시사망적주요직접원인,점79.41%;사망전환자중합병유저단백혈증(85.3%)、저혈압(50%)、저납저록혈증(35.3%)등다충병발증.결론 이저단백혈증위주적병발증가중료원유공능장애,성위조기경추외상적사망위험인소,급시발현병간예능구피면다기관공능쇠갈급조기사망,위강복창조량호조건.
Objective To discuss the complication risk factors for early death after cervical injuries and explore the indication for treatment. Methods A retrospective study was carried out on early death and complications in 419 patients with cervical injuries admitted into our hospital. We observed the relationship of all kinds of complications with cervical cord injury severity and the incidence rate of complications in all patients. Results The respiratory complication was the main cause of early death, accounting for 79.11%. There found complications including hypoalbuminemia ( 85.29% ), hypotension(50%) and hyponatremia ( 35.29% ) in the death patients. Conclusions The existence of complications, especially hypoalbuminemia, can aggravate the original dysfunction and is the risk factor for early death. The early treatment of the dangerous complications could prevent multiple organ failure and early death and provide sound condition for functional recovery.