中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2013年
8期
695-698
,共4页
安永刚%刘浩%裴福兴%屠重棋%黄富国%刘立岷%龚全%李涛%曾建成
安永剛%劉浩%裴福興%屠重棋%黃富國%劉立岷%龔全%李濤%曾建成
안영강%류호%배복흥%도중기%황부국%류립민%공전%리도%증건성
脊柱骨折%创伤和损伤%地震
脊柱骨摺%創傷和損傷%地震
척주골절%창상화손상%지진
Spinal fractures%Wounds and injuries%Earthquakes
目的 分析“4·20”芦山地震收治的脊柱骨折伤员伤情及临床特点,总结救治经验,为地震灾害伤员救治提供参考. 方法 回顾性分析63例脊柱骨折伤员的病例资料,分析其人群分布、致伤机制、骨折部位、骨折类型、脊髓损伤程度、多发伤及诊治情况的有关数据. 结果 本次收治的地震伤员中,中青年(17～ 50岁)共50例,占收治脊柱骨折伤员比例为79％,其中男伤员(33例,52％)多于女伤员(17例,27％).高处坠落伤(32例,51％)及摔伤(16例,25％)为主要致伤原因.脊柱骨折多发于胸腰椎(T11～L2,41例,65％),主要骨折类型为爆裂骨折(26例,41％)和压缩骨折(16例,25％).神经功能损伤程度按美国脊髓损伤协会(ASIA)分级:A级2例,B级2例,C级7例,D级8例,E级44例.脊柱骨折手术治疗36例.随访(34.0 ±2.6)d,末次随访时,A级2例,B级1例,C级6例,D级5例,E级49例. 结论 与汶川地震伤员比较,芦山地震脊柱骨折伤员伤情特点是男性中青年多、以高处坠落伤为主、累及胸腰椎和爆裂骨折多、神经损伤较轻、多发伤较少,通过积极治疗,可早期有效地完成对地震脊柱骨折伤员的抢救,为进一步的康复治疗打好基础.
目的 分析“4·20”蘆山地震收治的脊柱骨摺傷員傷情及臨床特點,總結救治經驗,為地震災害傷員救治提供參攷. 方法 迴顧性分析63例脊柱骨摺傷員的病例資料,分析其人群分佈、緻傷機製、骨摺部位、骨摺類型、脊髓損傷程度、多髮傷及診治情況的有關數據. 結果 本次收治的地震傷員中,中青年(17～ 50歲)共50例,佔收治脊柱骨摺傷員比例為79％,其中男傷員(33例,52％)多于女傷員(17例,27％).高處墜落傷(32例,51％)及摔傷(16例,25％)為主要緻傷原因.脊柱骨摺多髮于胸腰椎(T11～L2,41例,65％),主要骨摺類型為爆裂骨摺(26例,41％)和壓縮骨摺(16例,25％).神經功能損傷程度按美國脊髓損傷協會(ASIA)分級:A級2例,B級2例,C級7例,D級8例,E級44例.脊柱骨摺手術治療36例.隨訪(34.0 ±2.6)d,末次隨訪時,A級2例,B級1例,C級6例,D級5例,E級49例. 結論 與汶川地震傷員比較,蘆山地震脊柱骨摺傷員傷情特點是男性中青年多、以高處墜落傷為主、纍及胸腰椎和爆裂骨摺多、神經損傷較輕、多髮傷較少,通過積極治療,可早期有效地完成對地震脊柱骨摺傷員的搶救,為進一步的康複治療打好基礎.
목적 분석“4·20”호산지진수치적척주골절상원상정급림상특점,총결구치경험,위지진재해상원구치제공삼고. 방법 회고성분석63례척주골절상원적병례자료,분석기인군분포、치상궤제、골절부위、골절류형、척수손상정도、다발상급진치정황적유관수거. 결과 본차수치적지진상원중,중청년(17～ 50세)공50례,점수치척주골절상원비례위79％,기중남상원(33례,52％)다우녀상원(17례,27％).고처추락상(32례,51％)급솔상(16례,25％)위주요치상원인.척주골절다발우흉요추(T11～L2,41례,65％),주요골절류형위폭렬골절(26례,41％)화압축골절(16례,25％).신경공능손상정도안미국척수손상협회(ASIA)분급:A급2례,B급2례,C급7례,D급8례,E급44례.척주골절수술치료36례.수방(34.0 ±2.6)d,말차수방시,A급2례,B급1례,C급6례,D급5례,E급49례. 결론 여문천지진상원비교,호산지진척주골절상원상정특점시남성중청년다、이고처추락상위주、루급흉요추화폭렬골절다、신경손상교경、다발상교소,통과적겁치료,가조기유효지완성대지진척주골절상원적창구,위진일보적강복치료타호기출.
Objective To evaluate the injury severity and clinical features of spinal fracture cases admitted in West China Hospital after "4 · 20" Lushan earthquake,summarize the treatment experiences and provide reference for treatment of the spinal injuries after earthquake.Methods Data of 63 spinal fracture cases in Lushan earthquake were reviewed retrospectively for the population distribution,injury mechanism,fracture dislocation,fracture type,spinal cord injury severity,multiple injury as well as diagnosis and treatment.Results Totally,50 (79％) out of the spinal fracture cases were young and middle-aged (17-50 years),with the male (33 cases,52％) outnumbering the female (17 cases,27％).Falling from height (32 cases,51％) and falling (16 cases,25％) were the main causes of injury.Thoracolumbar spine (T11-L2.41 cases,65％) was the most common site for spinal fractures and the main types of fractures were burst fractures (26 cases,41％) and compression fractures (16 cases,25％).Neurological function assessed by American Spinal Injury Association (ASIA) scale was two cases of grade A,two grade B,seven grade C,eight grade D and 44 grade E on admission.Thirty-six cases had surgeries.Follow-up lasted for (34.0 ± 2.6) days.At the last follow-up,there were two cases of grade A,one grade B,six grade C,five grade D and 49 grade E.Conclusions Spinal fracture in Lushan earthquake occurs in young and middle-aged men in most cases,is mainly caused by the high fall,mostly involves in thoracolumbar spine in the shape of burst fractures and presents milder nerve injury as well as less multiple injury,when compared to that in Wenchuan earthquake.Early active treatment achieves effective rescue of cases of spinal fractures associated with earthquake and hence paves for the rehabilitation care.
