Early Management of Acute Spinal Cord Injury-Part I: Initial Injury to Surgery.
Early Management of Acute Spinal Cord Injury-Part I: Initial Injury to Surgery.
复制标题
急性脊髓损伤的早期处理 - 第一部分：手术初期损伤。
DOI：
10.1055/s-0039-1694688
复制
发表时间：
2019
影响因子：
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通讯作者：
Rosenblatt,Kathryn
中科院分区：
文献类型：
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作者：
Sacino,Amanda;Rosenblatt,Kathryn
急性脊髓损伤是一种毁灭性的事件，与世界范围内的大量发病率有关。脊髓损伤的病理生理包括最初的机械损伤和随后的炎症反应，这些反应可能会加重神经功能障碍的严重程度。已经研究了干预措施，以通过预防措施减少对脊髓的初次损伤程度，并通过早期专门护理减少二次伤害。因此，管理是多方面的、跨学科的，并在受伤时立即开始。它包括创伤分类，循环系统和呼吸系统的急性处理，以及明确的治疗，主要是手术减压和稳定。
Acute spinal cord injury is a devastating event associated with substantial morbidity worldwide. The pathophysiology of spinal cord injury involves the initial mechanical trauma and the subsequent inflammatory response, which may worsen the severity of neurologic dysfunction. Interventions have been studied to reduce the extent of primary injury to the spinal cord through preventive measures and to mitigate secondary insult through early specialized care. Management, therefore, is multifold, interdisciplinary, and begins immediately at the time of injury. It includes the trauma triage, acute management of the circulatory and respiratory systems, and definitive treatment, mainly with surgical decompression and stabilization.