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脊髓损伤:十年报告。

Spinal cord injury: a ten-year report.

作者信息

Buchanan L E, Ditunno J F, Osterholm J L, Cotler J M, Staas W E

出版信息

Pa Med. 1990 Jun;93(6):36-9.

PMID:2367137
Abstract

In the past 10 years, the RSCICDV has had a unique opportunity to serve and expand the bounds of knowledge regarding this most devastating injury. The RSCICDV has collaborated with other model SCI systems in research regarding the incidence of respiratory complications, the value of removing bullet fragments lodged within the spinal canal, the survival/cause of death following spinal cord injury, the cost of spinal cord injury care, and the recovery of motor strength after quadriplegia. Key on-site research efforts have focused on preventing deep vein thrombosis and in documenting the course of motor recovery after spinal cord injury. The identification of electrical stimulation plus low dose heparin as a prophylaxis has been a major breakthrough in the prevention of deep vein thrombosis. The documentation of motor recovery after injury has led to the designation of Thomas Jefferson University as a federally-funded National Rehabilitation Research and Training Center in Neural Recovery and Functional Enhancement (1988-1993). It cannot be stressed enough, however, that the accomplishments of the Regional Spinal Cord Injury Center of Delaware Valley would have been quite impossible without the cooperation and support of the many physicians who have referred their patients to this regional center program. Continuing and expanding this cooperative effort should result in even greater achievements for persons with spinal cord injury in the years to come.

摘要

在过去十年中,特拉华谷地区脊髓损伤中心(RSCICDV)获得了一个独特的机会,来服务并拓展关于这种极具毁灭性损伤的知识范畴。该中心与其他脊髓损伤示范系统合作,开展了多项研究,内容涉及呼吸并发症的发生率、取出椎管内子弹碎片的价值、脊髓损伤后的存活情况/死因、脊髓损伤护理的成本以及四肢瘫痪后运动力量的恢复。主要的现场研究工作集中在预防深静脉血栓形成以及记录脊髓损伤后的运动恢复过程。确定电刺激加低剂量肝素作为预防措施是预防深静脉血栓形成方面的一项重大突破。损伤后运动恢复情况的记录使得托马斯·杰斐逊大学被指定为一个由联邦政府资助的神经恢复与功能增强国家康复研究与培训中心(1988 - 1993年)。然而,必须着重指出的是,如果没有众多将患者转诊至该地区中心项目的医生的合作与支持,特拉华谷地区脊髓损伤中心的成就将是完全不可能实现的。在未来的岁月里,持续并扩大这种合作努力应该会为脊髓损伤患者带来更大的成就。

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Spinal cord injury: a ten-year report.脊髓损伤:十年报告。
Pa Med. 1990 Jun;93(6):36-9.
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Changes in activity after a complete spinal cord injury as measured by the Spinal Cord Independence Measure II (SCIM II).通过脊髓独立测量II(SCIM II)测量的完全脊髓损伤后活动的变化。
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