颈椎外伤早期死亡的危险因素分析  

Analysis of risk factors for early death following cervical injuries

作　　者：金国鑫[1] 王欢[1] 李雷[1] 崔少千[1] 段景柱[1] 张磊[1] 

机构地区：[1]中国医科大学附属盛京医院脊柱创伤骨科,沈阳110004

出　　处：《中华创伤杂志》2010年第8期695-698,共4页Chinese Journal of Trauma

摘　　要：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.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.

关 键 词：脊柱损伤 颈椎 并发症 死亡原因 

分 类 号：R686[医药卫生—骨科学]