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[儿童创伤性脊髓损伤;早期和晚期影响]

[Traumatic spinal cord injury in children; early and late effects].

作者信息

Peters Jeroen P M, Kramer William L M

机构信息

UMC Utrecht-Wilhelmina Kinderziekenhuis, afd. Kinderchirurgie, Utrecht, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2013;157(27):A5788.

Abstract

Spinal cord injuries (SCIs) have physical, emotional, psychological and economic consequences for patients. Although SCIs in children are rare, they have to cope with the consequences for the rest of their lives. In this article, three children who presented at our emergency department are discussed. These children had suffered SCIs from different etiologies. Most SCIs are caused by trauma and more males than females suffer SCIs. The younger children are, the more likely they will sustain cervical SCIs, which can be attributed to several distinct anatomical differences in the juvenile spine. Depending on the level of the spine injured, multiple secondary problems can occur. In this article, we paint a picture of the complex and multidisciplinary treatment and rehabilitation of young SCI patients and emphasise the need for treatment to take place in a specialised (children's) rehabilitation unit.

摘要

脊髓损伤(SCI)会给患者带来身体、情感、心理和经济方面的后果。尽管儿童脊髓损伤很少见,但他们必须终生应对这些后果。本文讨论了在我们急诊科就诊的三名儿童。这些儿童因不同病因遭受了脊髓损伤。大多数脊髓损伤由创伤引起,男性脊髓损伤患者多于女性。儿童年龄越小,发生颈椎脊髓损伤的可能性就越大,这可归因于青少年脊柱的几个明显解剖学差异。根据脊柱损伤的水平,可能会出现多种继发性问题。在本文中,我们描绘了年轻脊髓损伤患者复杂的多学科治疗与康复情况,并强调需要在专门的(儿童)康复机构进行治疗。

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