Cook Neal
Department of Nursing, University of Ulster, Magee Campus, Derry Co., Derry, Northern Ireland.
Intensive Crit Care Nurs. 2003 Jun;19(3):143-53. doi: 10.1016/s0964-3397(03)00031-4.
Spinal cord injury (SCI) is a devastating and challenging condition. The events that lead to SCI, such as road traffic accidents, falls, sports and violence [Top. Spinal Cord Inj. Rehabil. 5 (1999) 83], are also the common aetiologies of traumatic brain injury (TBI). It's not surprising then, that 20-50% of those with cervical SCI have TBI [J. Trauma 46 (1999) 450]. The literature pertaining to the management of either injury in isolation is vast, but lacking where the two conditions are experienced together and require distinct adaptations to interventions. Consequently, a gap in the literature exists. This paper focuses on those patients with SCI of the cervical spine with associated head injury, and pay particular attention to respiratory difficulties, and presents interventions required to minimise and treat the effects of such pulmonary compromise.
脊髓损伤（SCI）是一种具有毁灭性且颇具挑战性的病症。导致脊髓损伤的事件，如道路交通事故、跌倒、运动和暴力行为[《脊髓损伤康复前沿》5（1999年）83页]，也是创伤性脑损伤（TBI）的常见病因。因此，20%至50%的颈椎脊髓损伤患者伴有脑损伤也就不足为奇了[《创伤杂志》46（1999年）450页]。关于单独处理这两种损伤之一的文献浩如烟海，但在两种情况同时出现且需要对干预措施进行不同调整的领域却有所欠缺。因此，文献中存在空白。本文聚焦于伴有头部损伤的颈椎脊髓损伤患者，特别关注呼吸困难问题，并介绍为尽量减少和治疗此类肺部功能损害的影响所需的干预措施。
