摘要
目的研究颅颈联合伤流行病学特点,探讨其损伤机制。方法对1999年11月～2003年11月收治的颅脑损伤病人首诊即行颈椎主动性普查(主要用影像学),筛选合并颈椎损伤病例进一步分析研究。结果5年共收治颅脑损伤病例1087例,检查出合并颈椎损伤107例(9.84%)。合并有颈椎影像学改变者65例(60.75%),其中无脊髓损伤的颈椎骨折与脱位42例(39.25%);颈椎骨折脱位并脊髓损伤23例(21.50%),X线示无异常颈髓损伤42例(39.25%)。治愈好转79例(73.83%),死亡8例(7.48%),致残20例(18.69%)。结论交通伤为首要致伤原因,颅颈联合伤发病率较高,应高度重视颅脑损伤的颈部检查。
Objectiveds To study the epidemiological characters of traumatic brain injury with cervical vertebral injury,and to investigate its injury mechanism.Methods All of 1087 patient with head injury hospitalized in our hospital during 1999.11～2003.11 had imaging examination of cervical vertebrate to find the cases with cervical vertebral injury for further study. Results There were 107 cases(9.84%) with cervical vertebrae injury in 1087 cases with head injury. The pure fracture and dislocation of cervical vertebrae were found in 42 cases (39.25%),cervical cord lesion in 65 cases(60.75%). Seventy-nine cases got good recovery(73.83%),8 cases died and 20 cases had functional deficits. Conclusion Traffic accidents are the primary causes. It is important to perform cervical examination for the patients with head injury.
出处
《创伤外科杂志》
2005年第4期261-263,共3页
Journal of Traumatic Surgery
关键词
颅脑损伤
颈椎损伤
影像学
流行病学
brain injury
cervical vertebral injury
imaging examination
epidemiology
