检验医学与临床2017，Vol.14Issue(20)：3023-3025,3.DOI:10.3969/j.issn.1672-9455.2017.20.018
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
梁昌芬 1朱勇德 1林保冠 1林传钦 1符国平 1邓托1
作者信息
- 1. 海南省第三人民医院急诊科,海南三亚572000
- 折叠
摘要
Abstract
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 differ-ence between the two groups(P>0.05);the missed diagnosis rate in the study group was significantly higher than that in the con-trol group with statistical difference(P<0.05);the proportions requiring ventilator and tracheotomy in the study group were signif-icantly 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 signifi-cant(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 elec-trolyte disorder in the study group were significantly higher than those in the control group,and the difference was statistically sig-nificant(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 con-trol 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>0.05).Conclusion Compared with simple cervical spine injury,cervical spine in-jury complicating chest trauma have more serious disease condition,higher proportions needing tracheotomy and ventilator,longer hospitalization duration,more complications,which should arise enough attention in clinic.关键词
胸部创伤/颈椎损伤/临床特征Key words
thoracic trauma/cervical spine injury/clinical features引用本文复制引用
梁昌芬,朱勇德,林保冠,林传钦,符国平,邓托..并发胸部创伤的颈椎损伤患者临床特征研究[J].检验医学与临床,2017,14(20):3023-3025,3.
