并发胸部创伤的颈椎损伤患者临床特征研究  

Study on clinical characteristics in patients with cervical spine injury complicating thoracic trauma

作　　者：梁昌芬[1] 朱勇德[1] 林保冠[1] 林传钦 符国平[1] 邓托 

机构地区：[1]海南省第三人民医院急诊科,海南三亚572000

出　　处：《检验医学与临床》2017年第20期3023-3025,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨并发胸部创伤的颈椎损伤患者临床特征。方法回顾性分析在该院住院治疗的颈椎损伤患者127例,单纯颈椎损伤患者71例为对照组,并发胸部创伤的颈椎损伤患者56例为研究组,比较两组患者的一般临床资料、漏诊率、治疗方式、并发症、转归情况。结果两组患者的性别比例、年龄分布、致病原因以及损伤部位的差异无统计学意义(P>0.05);研究组患者的漏诊率明显高于对照组,差异有统计学意义(P<0.05);研究组需要呼吸机、需要切开气管的比例明显高于对照组,差异有统计学意义(P<0.05),研究组手术治疗距离入院时间明显长于对照组,差异有统计学意义(P<0.05);研究组延期手术的比例明显高于对照组,差异有统计学意义(P<0.05);研究组患者发生呼吸道感染、呼吸功能障碍以及电解质紊乱的比例明显高于对照组,差异有统计学意义(P<0.05),两组患者尿道感染和消化道出血的比例差异无统计学意义(P>0.05);研究组患者的平均住院时间明显长于对照组,差异有统计学意义(P<0.05),两组患者的治疗效果以及死亡比例的差异无统计学意义(P>0.05)。结论与单纯颈椎损伤相比,并发胸部创伤的颈椎损伤患者病情更重,需要切开气管、呼吸机的比例更高,住院时间更长,并发症更多,应引起临床的足够重视。Objective To investigate the clinical characteristics in the patients with cervical spine injury complicating thoracic trauma.Methods The retrospective analysis was performed on 127 patients with cervical spine injury in the hospital,71 cases of simple cervical spine injury as the control group and 56 cases of cervical spine injury complicating thoracic trauma as the research group.The general clinical data,missed diagnosis rate,treatment mode,complications and outcome situation were compared between the two groups.Results The sex ratio,age distribution,pathogenic causes and injury locations had no statistically significant difference between the two groups（P〉0.05）;the missed diagnosis rate in the study group was significantly higher than that in the control group with statistical difference（P〈0.05）;the proportions requiring ventilator and tracheotomy in the study group were significantly higher than those in the control group,and the difference was statistically significant（P〈0.05）;the time from operation to the admissione in the study group was significantly longer than that in the control group,and the difference was statistically significant（P〈0.05）.The proportion of delayed operation in the study group was significantly higher than that in the control group,and the difference was statistically significant（P〈0.05）;the proportions of respiratory tract infection,respiratory dysfunction and electrolyte disorder in the study group were significantly higher than those in the control group,and the difference was statistically significant（P〈0.05）;the proportions urinary tract infection and digestive tract hemorrhage had no statistically significant differences between the two groups（P〉0.05）;the average hospitalization time in the study group was significantly longer than that in the control group,and the difference was statistically significant（P〈0.05）;the therapeutic effect and death proportion had no statistically significant difference between the two groups（P〉0

关 键 词：胸部创伤 颈椎损伤 临床特征 

分 类 号：R683.2[医药卫生—骨科学]