2008年6月26日星期四
Spinal fractures need to be fixed early
For now, the multiple blunt traumatic spinal fracture fixed the most appropriate time is also no uniform point of view. Early fixed benefits include early and patients can be infected and Fewer complications. Shortcomings related to injuries as a result of complications caused by the complex and not easy operation. However, according to the survey early spinal fracture fixed more security, the rule of the patients More more effective. The United States Memphis University of Tennessee Health Science Center, science Dr. Martin A. Croce, such as spinal fracture fixed in order to assess the multiple injury patients The impact of an urban trauma center a 42 month period due to spinal fractures require surgery to fix the blunt trauma patients were analyzed. According to the fracture patients - Set time, the level of spinal injuries and other damage with the impact of (injury severity score to measure) for analysis. Fixed within three days early as fixed, three days After the fixed-called advanced fixed. Analysis of indicators including the ICU and hospital time to time, artificial ventilation, pneumonia, the survival rate and hospitalization costs. The results showed that in 291 cases of spinal fracture patients, 142 patients (49 percent) early fixed, 149 cases (51 percent) had advanced fixed. The patient's age group , Admission blood pressure, severe trauma score, chest injury classification score summary similar. Early fixation ICU short time, the incidence of pneumonia and low cost Less. According to trauma parts division, 163 cases of cervical spine (83 cases of early fixed, 80 cases of advanced fixed), 79 cases of thoracic spine (30 cases of early fixed, 49 cases of advanced fixed), lumbar Vertebral 49 cases (29 cases of early fixed, 20 cases of advanced fixed). A fixed group and the early part of advanced fixed group the extent of the injury no different. Differential treatment The largest group to the chest fractures. Early fixed group of significantly lower incidence of pneumonia, ICU short time, less need for ventilation, low-cost. Early fixed The low incidence of pneumonia, less use of hospital equipment. The researchers concluded that the multiple injury patients, early spinal fracture fixation is safer. The thoracic spine fractures, early fixed early activities will enable patients And reduce the incidence of pneumonia. Although not serious patients, a fixed extension of the treatment plan for the development, but the necessary equipment to increase the hospital, patients have more complications .
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Spinal fractures
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