“脊柱损伤控制”在不稳定性胸腰椎骨折的多发伤患者中的应用  

Application of ＂spine damage-control＂ protocol for unstable thoracic and lumbar spine fractures in polytrauma patients

作　　者：魏建军 杨永江 颜世昌 张维龙 杨锋真 

机构地区：[1]南京明基医院骨科,江苏南京210019

出　　处：《检验医学与临床》2015年第A02期136-138,共3页Laboratory Medicine and Clinic

摘　　要：目的：探讨应用脊柱损伤控制（SDC）原则治疗严重多发性创伤的不稳定胸腰椎骨折的安全性和可行性。方法回顾性分析选择2012年1月到2014年1月应用 SDC 方式手术治疗18例不稳定性胸腰椎骨折的多发性创伤的临床资料，描述 SDC 的手术时间和出血、ICU 入住时间、并发症和死亡率。结果平均行急诊手术时间约12 h ，术中平均出血量958 mL ，手术时间约145 min 。发生泌尿系感染5例。 ICU 平均入住3．57天。结论 SDC对于多发性创伤的不稳定性胸腰椎骨折可以早期后路固定稳定脊柱，减少并发症，是安全有效的治疗策略。Objective To explore the safety and efficacy of spine damage‐control （ SDC） in treating severe polytrauma patients combined with unstable thoracic and lumbar spine fracture .Methods A retrospective analysis was performed in 18 eligible polytrauma patients with unstable thoracic and lumbar spine fracture .From January 2012 to January 20l4 ,the SDC was used to treat these polytrauma patients with spinal fractures .length of operative time , amount of intraoperative blood loss ,ICU length of stay ,and incidence of early postoperative complications were ana‐lyzed .Results The mean time to initial spine fixation was 12 hours ,mean length of operative time was 145 minutes , the blood loss was 958ml ,the length ICU stay was 3 .57 days .Furthermore ,the complications of urinary tract infec‐tions were among 5 cases .Conclusion A SDC protocol represents a safe and efficient treatment strategy for severely injured patients with associated unstable thoracic or lumbar fractures .

关 键 词：严重多发创伤 脊柱损伤控制 不稳定胸腰椎骨折 

分 类 号：R683.2[医药卫生—骨科学]