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[创伤性四肢瘫痪急性期的通气障碍]

[Ventilatory disorders in the acute period of tetraplegia of traumatic origin].

作者信息

Jean N, Pasteyer J, Guery J

出版信息

Ann Anesthesiol Fr. 1977 Jul 19;18(3):303-8.

PMID:20009
Abstract

Out of a total of 30 cases of traumatic tetraplegia with the lesion situated from C1 to C8 seen during the acute phase in the department of Professor JUDET, 8 posed no respiratory problems, whilst the others suffered lobar or pulmonary atelectasis in 13 cases, retention of bronchial secretions with secondary infection in 6 cases and progressive hypoxaemia in 3 cases. The first two types of complication are mechanical in origin and are directly related to the neurological problem. The third type is of more complex pathogenesis, combining water retention, hypoproetinaemia and secondary infection.

摘要

在朱迪特教授科室急性期见到的总共30例创伤性四肢瘫患者中,病变位于C1至C8,8例无呼吸问题,而其他患者中,13例发生肺叶或肺不张,6例出现支气管分泌物潴留伴继发感染,3例出现进行性低氧血症。前两种并发症源于机械因素,与神经问题直接相关。第三种并发症的发病机制更为复杂,合并了水潴留、低蛋白血症和继发感染。

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