汶川地震致周围神经损伤14例诊治体会

详细信息 本馆镜像全文    |  推荐本文 | | 获取馆网全文

英文篇名：Diagnosis and treatment of peripheral nerve injury in Wenchuan earthquake:a report of 14 cases 中文刊名：中国骨伤 英文刊名：China Journal of Orthopaedics and Traumatology 作者：苏佳灿 ; 李卓东 ; 禹宝庆 ; 曹烈虎 ; 张春才 英文作者：SU Jia can ; LI Zhuodong ; YU Bao qingCAO Lie hu ; ZHANG Chun cai.Department of Orthopaedics ; the Affiliated Changhai Hospital of the Second Military Medical University ; Shanghai 200433 ; China 中文关键词：自然灾害 ; 地震 ; 周围神经 ; 创伤与损伤 英文关键词：Natural disasters ; Earthquake ; Peripheral nerve ; Wounds and injury 出版日期：2008-10-25 机构：第二军医大学附属长海医院骨科; 年：2008 期：10 出版单位：中国骨伤

摘要

目的:探讨战地条件下地震致周围神经损伤的诊断及治疗方法。方法:对地震致周围神经损伤14例进行总结回顾,观察战地条件下通过及时诊断并采用神经吻合术、修复术以及保守治疗等治疗方法对地震致周围神经损伤患者的疗效。结果:14例患者全部获得4周随访,所有患者神经损伤症状均有不同程度好转。结论:地震伤中周围神经损伤发生率较高,预防具有重要意义,战地条件下应因地制宜,结合患者伤情,早期给予有效治疗。
Objective:To discuss the diagnosis and treatment of peripheral nerve injury in the earthquake.Methods:Fourteen patients with peripheral nerve injury injured in the earthquake were involved the retrospective study.All cases ac-cepted the timely diagnosis and treatment including anastomosis and repair of the nerve and other conservative treatments.Then the therapeutic effects were observed.Results:All 14 patients got short term follow up and attained the improvement in their symptoms of nerve injury.Conclusion:Peripheral nerve injury has a high incidence in the earthquake.Prevention is very important.The timely and effective treatment should be taken according to spot situations and traumatic conditions of casualties in earthquake.

引文

[1]张长青,顾玉东,陈亮.纤维蛋白凝胶粘合加外膜固定修复周围神经的实验研究.中国修复重建外科杂志,2000,12(3):129.
    [2]顾玉东.周围神经损伤诊治的几个基本问题.医学临床研究,2004,2(5):449.
    [3]李继峰,艾殉,胡韶楠,等.神经再生室中神经修复过程的超微结构研究.中华手外科杂志,2004,17(1):5860.
    [4]张少成,张雪松,郑旭东,等.肌膜包裹法治疗灼性神经痛.中华手外科杂志,2001,17(2):8183.
    [5]Sunderland IR,Brenner MJ,Singham J,et a1.Effect of tension on nerve regeneration in rat saiatic nerve transection mode1.Ann Plast Surg,2004,53:382387.