胸部损伤合并脊柱骨折患者的救治进展  

Research progress in treatment of thoracic injuries and spinal fractures

作　　者：马俊 夏鸿 赵林 MA Jun;XIA Hong;ZHAO Lin(Department of Orthopaedics,the Third People＇s Hospital of Honghe Autonomous Prefecture,Yunnan 661000,China)

机构地区：[1]红河州第三人民医院骨科,云南661000

出　　处：《中国临床新医学》2018年第6期625-628,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：胸部损伤合并脊柱骨折的患者病情危重,脊柱骨折手术常因胸部损伤而延期手术,部分伴有脊髓损伤患者的截瘫风险增加。由于脊柱骨折,患者不能早期功能锻炼,不利于呼吸功能恢复,常存在卧床并发症(肺炎、肺不张等),病情进一步加重。这两种损伤互相影响,其治疗方案的选择目前仍存争议,该文就胸部损伤合并脊柱骨折患者的救治进展进行综述。The operations of spinal fractures are often delayed because of the increased risk of paraplegia in some patients with spinal cord injury and a critical condition in the patients with thoracic injuries and spinal fractures.These patients can not exercise early and have the disadvantage of respiratory function recovery due to the spinal fractures. Therefore,the patients often have bed-ridden complications（ pneumonia,atelectasis,etc） and their conditions are further aggravated by these complications. The two kinds of injuries interact with each other,and the choice of therapeutic regimens is still in dispute. In this paper,we review the research progress in the treatment of thoracic injuries and spinal fractures.

关 键 词：胸部损伤 脊柱骨折 治疗 

分 类 号：R683.2[医药卫生—骨科学]