急性脊柱脊髓损伤患者并发症的相关因素分析与早期康复

被引：34

作者：

郭险峰 ^{[1
]}

关骅 ^{[2
]}

机构：

[1] 北京积水潭医院康复医学科

[2] 中国康复研究中心北京博爱医院脊柱脊髓外科

来源：

中国康复理论与实践 | 2008年 / 08期

关键词：

脊柱损伤; 脊髓损伤; 并发症;

D O I：

暂无

中图分类号：

R683.2 [脊椎骨折]; R651.2 [脊髓]; R49 [康复医学];

学科分类号：

100220 [骨科学]; 100223 [神经外科学]; 100232 [康复医学];

摘要：

目的探讨急性脊柱脊髓损伤患者并发症的临床发病情况、发病危险因素、治疗措施。方法对543例急性脊柱脊髓损伤患者的临床资料进行回顾性分析。结果543例患者中242例(44.6%)发生并发症;发生率最高的前三位并发症为:低钠血症(202例,37.2%)、泌尿系感染(150例,27.6%)、肺部感染(54例,9.9%)。完全性颈脊髓损伤患者低钠血症和肺炎的发生率明显增高。结论积极的早期预防和早期康复训练是预防急性脊柱脊髓损伤并发症的有效方法。

引用

页码：716 / 718

页数：3

共 9 条

[1]

Daily vs twice daily enoxaparin in the prevention of venous thromboembolic disorders during rehabilitation following acute spinal cord injury [J].

Hebbeler, SL ;

Marciniak, CM ;

Crandall, S ;

Chen, D ;

Nussbaum, S ;

Mendelewski, S .

JOURNAL OF SPINAL CORD MEDICINE, 2004, 27 (03) :236-240

[2]

C-Reactive Protein and Erythrocyte Sedimentation Rate in Patients With Heterotopic Ossification After Spinal Cord Injury.[J].Estrores;Harrington;Banovac.The Journal of Spinal Cord Medicine.2004, 5

[3]

Spinal cord injury risk assessment for thromboembolism (SPIRATE study) [J].

Green, D ;

Hartwig, D ;

Chen, D ;

Soltysik, RC ;

Yarnold, PR .

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2003, 82 (12) :950-956

[4]

Duplex ultrasound screening for deep vein thrombosis in spinal cord injured patients at rehabilitation admission [J].

Powell, M ;

Kirshblum, S ;

O'Connor, KC .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1999, 80 (09) :1044-1046

[5]

Prevention of Venous Thromboembolism in Patients with Spinal Cord Injury: Effects of Sequential Pneumatic Compression and Heparin.[J].Winemiller;Stolp-Smith;Silverstein;Therneau.The Journal of Spinal Cord Medicine.1999, 3

[6]

脊髓损伤患者泌尿系感染的危险因素分析 [J].