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題名 | 胸腰椎骨折之治療=Management of Thoracic and Lumbar Spine Fractures |
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作者 | 高振興; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 4:2 2002.04[民91.04] |
頁次 | 頁136-140 |
分類號 | 416.61 |
關鍵詞 | 胸腰椎骨折; 脊椎骨折; 神經性休克; Thoracolumbar spine fracture; Spine fracture; Neurogenic shock; |
語文 | 中文(Chinese) |
中文摘要 | 外傷病人常合併有胸腰椎骨折的問題。宜儘早檢查發現問題,瞭解受傷狀況及給予適當處置。可避免二度傷害,減輕疾病嚴重度及後遺症。 運送時置病人於硬板床上運送,照顧時採用圓滾木式翻身法,維持適當血壓及使用Methylprednisolone藥物等,這些基本處理的目的是為了維持生命徵候,保護神經功能,維持穩定的脊柱狀態。手術治療則為減壓或使用脊椎內固定器幫助骨折復位,增進穩定性及骨折癒合,達到早日復健,下床活動及幫助不完全性神經損傷患者增加恢復之可能。 |
英文摘要 | The thoracic and lumbar spine fractures is the common site in trauma patients. It was anticipated that rapid initial evacuation and triage, injury recognition, and appropriate management would be of further advantage to the favorable biology of the region, loading to decreased morbidity and increased function. The primary goals in caring for these patients include preserving life, protecting neurologic function, restoring alignment and stability of the spine. Surgical fixation have allowed for reduction, decompression, stabilization, and promotion of fracture healing. Neurological recovery following incomplete spinal cord injury has not been consistent. |
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