目的:分析汶川地震致脊髓损伤患者的病情特点。方法:对35例地震致脊髓损伤患者进行回顾性调查。结果:地震造成的这35例脊髓损伤患者在性别、年龄无明显差异,完全性损伤占42.86%,不完全损伤占57.14%。主要致伤原因为压榨伤(68.57%)。骨折部位依次为腰椎(57.14%)、胸椎(28.57%)、颈椎(11.43%)。受伤时体位60%为屈曲位。31.43%的完全性损伤患者由非专业救援人员救出。结论:35例患者脊髓损伤程度普遍较重,主要是与地震当时巨大冲击力有关,也与受灾现场救援条件严重受限,错过最佳治疗时机有关。现场的急救、救援方式对患者的伤情和预后有重要影响,因此需要大力宣传和普及灾害后抢救伤员的基本知识。
Citation:
LIU Yin,LIN Qiang,CHI Dongliang.. Epidemiological Characteristics of 35 Spinal Cord Injury Patients in Wenchuan Earthquake. West China Medical Journal, 2009, 24(3): 541-544. doi:
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- 1. 王彤,励建安.脊髓损伤的神经和功能分类标准[J].中国脊柱脊髓杂志,1994,(02):80-84..
- 2. GRIFFIN M R, O’ FALLON W M, OPITZ J L, et al. Mortality, survival and prevalence: Traumatic spinal cord injury in Olmsted County, Minnesota, 19351981[J]. J Chronic Dis,1985,38:643-653..
- 3. STOVER S L, FINE P R. The epidemiology and economics of spinal cord injury[J]. Paraplegia,1987,25:225-228..
- 4. TATOR C H. Epidemiology and general characteristics of the spinal cord injured patient[M].//TATOR C H, BENZEL E C. Contemporary Management of Spinal Cord Injury: From Impact to Rehabilitation. 3rd ed. ParkRidge, IL: American Association of Neurological Surgeons,2000:15-19..
- 5. 李建军,周红俊,洪毅,等.2002年北京市脊髓损伤发病率调查[J].中国康复理论与实践,2004,(7):32-33..
- 6. SEKHON L H S, FEHLINGS M G. Epidemiology, demographics, and pathophysiology of acute spinal cord injury[J]. Spine,2001,6:S2-S12..
- 7. WILCOX R K, BOERGER T O, HALL R M, et al. Operative compared with nonoperative treatment of a thoracolumbar hurst fracture without neurological deficit: a prospective, randomized study[J]. J Bone Jion Surg(Am),2003,85A(5):773-781..
- 8. 洪毅,张军卫,李想,等.地震中脊柱脊髓损伤伤员的急救[J].中国康复理论与实践,2008,(7):606-607.
- 9. 周天健,李建军.脊柱脊髓损伤现代康复与治疗[M].北京:人民卫生出版社,2006..
- 10. RATHORE F A, FAROOQ F, MUZAMMIL S, et al. Spinal cord injury management and rehabilitation: highlights and shortcomings from the 2005 earthquake in Pakistan[J]. Arch Phys Med Rehabil,2008,89(3):579-585..
- 11. PRIEBE M M. Spinal cord injuries as a result of earthquakes: lessons from Iran and Pakistan[J]. J Spinal Cord Med,2007,30(4):367-368..