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马尾综合征的评估和管理。

Assessment and management of cauda equina syndrome.

机构信息

Bolton FT, UK.

Sussex MSK Partnership, UK.

出版信息

Musculoskelet Sci Pract. 2018 Oct;37:69-74. doi: 10.1016/j.msksp.2018.06.002. Epub 2018 Jun 7.

Abstract

INTRODUCTION

Cauda equina syndrome (CES) is a rare condition that affects the nerves in the spine supplying the bladder, bowel and sexual function. Identification and subsequent urgent action is required to avoid permanent damage to these essential organs. Delays in diagnosis can have devastating and life changing consequences for patients and result in high cost negligence claims.

PURPOSE

The purpose of this masterclass is to examine the current evidence and provide an evidence-based, clinically reasoned approach in the safe management of patients presenting with CES. It will include a focus on the importance of communication, documentation and a practical approach to safety netting those at risk.

IMPLICATIONS FOR PRACTICE

CES has significant implications for patients and clinicians alike. Timely, effective diagnosis and management of patients with CES results in a better outcome.

摘要

简介

马尾综合征(CES)是一种罕见的病症,会影响供应膀胱、肠道和性功能的脊柱神经。为了避免这些重要器官的永久性损伤,需要对其进行识别并立即采取行动。诊断的延迟可能会给患者带来毁灭性和改变生活的后果,并导致高昂的疏忽索赔。

目的

本大师班的目的是检查现有证据,并提供一种基于证据、临床合理的方法,安全管理出现 CES 的患者。它将包括对沟通、记录的重要性的关注,以及对处于风险中的患者进行安全网的实用方法。

对实践的影响

CES 对患者和临床医生都有重大影响。及时、有效地诊断和治疗 CES 患者可带来更好的结果。

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