中重度颅脑损伤合并颈椎损伤38例诊治体会  

Experience of diagnosis and treatment of 38 patients with cervical spine traumas associated with moderate and severe craniocerebral injuries

作　　者：王贵春[1] 方经宏 朱光宇[1] 陶小虎[1] 

机构地区：[1]安徽省合肥市第三人民医院神经外科,安徽合肥230022

出　　处：《安徽医药》2011年第11期1400-1401,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨中重度颅脑损伤合并颈椎损伤的临床特点,总结治疗体会。方法回顾性分析38例中重度颅脑损伤合并颈椎损伤的临床诊断和影像学检查资料。结果所有患者均行头颅CT及颈椎CT检查,29例患者行颈髓MRI检查;头颅CT均有异常发现,颈椎CT异常33例;颈椎CT正常,颈髓MRI异常5例。结论中重度颅脑损伤合并颈椎损伤的患者可在行头颅CT检查的同时行颈椎CT检查并及时行颈髓MRI检查,尽早明确诊断,以免不当护理造成进一步颈椎或颈髓的损伤,同时又能明确无放射影像异常的颈髓损伤。Aim To explore the clinical diagnosis of cervical spine trauma in the patients with moderate and severe craniocerebral injury,and to Summarize the clinical characteristics of damage treatment experience.Methods The clinical data of 38 patients with cervical spine traumas associated with moderate and severe craniocerebral injuries,who were treated from March 2007 to March 2011,were retrospectively analyzed.Results CT examinations of the head and cervical spine were performed in all of the patients,and MR examinations of cervical spine were performed in 29 patients.The intracranial abnormal images were showed by head CT scanning in all the patients.The positive cervical spine CT images were observed in 33 patients.The cervical spinal cord injuries without radiographic abnormality were found by MRI in 5 patients.Conclusions The patients with moderate and severe craniocerebral injuries,who probably suffer from cervical spine trauma,should receive cervical spine CT examinations of the head and cervical spine at the same time.MR examinations of cervical spinal cord also should be performed in time in order to made early diagnosis,avoid improper care cervical causing further damage cervical spinal and cervical spinal cord or the misdiagnosis of the cervical spinal cord injury without radiographic abnormality in the patients with moderate and severe craniocerebral injuries.

关 键 词：中重型颅脑损伤 颈椎损伤 颈髓损伤 诊断 

分 类 号：R651.1[医药卫生—外科学] R681.5[医药卫生—临床医学]