198例四川地震中脊柱脊髓损伤的临床分析
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摘要
目的分析四川地震脊柱脊髓损伤类型构成情况及临床特点。方法将198例伤员按照年龄段分为4组,收集骨折类型、神经损害程度、复合伤及多个部位脊柱骨折的数据,分析其临床特点。结果骨折类型以压缩骨折最多见(占49.3%),其次是爆裂骨折(占45.9%)。198例伤员中,脊髓损伤105例,ASIA分级:A级20例,B级18例,C级25例,D级42例。发生复合伤41例。发生多个椎体损伤的部位以T12、L1、L2最多见。结论四川地震脊柱损伤类型以压缩骨折和爆裂骨折为主,主要集中在18～65岁年龄段,脊髓损伤占脊柱损伤的53.03%。
Objective To analyze the constituent ratio and clinical characteristics of spine trauma and spinal cord injury of the survivors in the Sichuan earthquake.Methods 198 cases wounded in the Sichuan earthquake were divided into four groups according to age for collecting the type of fracture,nerve damage,spinal fractures combined injuries of data from multiple sites,analyzing their clinical characteristics.Results Fracture types are most common compression fractures (49.3%),followed by the burst fractures (45.9%).105 of them had spinal cord injury,ASIA grade:A grade:20 cases,B Grade:18 cases,C grade:25 cases,D Grade:42 cases.41 cases had combined injury.T12,L1,and L2 vertebral fractures were common types.Conclusion Compression fractures and burst fractures as spinal injuries occurred commonly in Sichuan earthquake mainly in the 18～65 years old,and spinal cord injury accounted for 53.03% spinal injury.
Objective To analyze the constituent ratio and clinical characteristics of spine trauma and spinal cord injury of the survivors in the Sichuan earthquake.Methods 198 cases wounded in the Sichuan earthquake were divided into four groups according to age for collecting the type of fracture,nerve damage,spinal fractures combined injuries of data from multiple sites,analyzing their clinical characteristics.Results Fracture types are most common compression fractures (49.3%),followed by the burst fractures (45.9%).105 of them had spinal cord injury,ASIA grade:A grade:20 cases,B Grade:18 cases,C grade:25 cases,D Grade:42 cases.41 cases had combined injury.T12,L1,and L2 vertebral fractures were common types.Conclusion Compression fractures and burst fractures as spinal injuries occurred commonly in Sichuan earthquake mainly in the 18～65 years old,and spinal cord injury accounted for 53.03% spinal injury.
引文
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[2]Gu K,Raymond V,Serhan T,et al.Acute renal failure due to crush syndrome during Marmara earthquake[J].Am J Kidney Dis,2002,40(4):682-689.
[3]Iskit SH,Alpay H,Tugtepe H,et al.Analysis of33pedi-atric trauma victi ms in the1999Marmara,Turkey earth-quake[J].J Pediatr Surg,2001,36(2):368-372.
[4]Bulut M,Fedakar R,Akkose S,et al.Medical experience of a university hospital in Turkey after the1999Marmara earthquake[J].Emerg Med J,2005,22(5):494-498.
[5]Peek-Asa C,Ramirez M,Shoaf K,et al.Population-based case control study of injury risk factors in the Northrdge earthquake[J].Annals of Epidemiol,2002,12(7):525-526.
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