Division of Neuroanesthesia, Department of Anesthesiology, Yale School of Medicine, Yale University, PO Box 208051, 333 Cedar Street, TMP 3, New Haven, CT 06510, USA.
Department of Anesthesiology, Yale School of Medicine, Yale University, PO Box 208051, 333 Cedar Street, TMP 3, New Haven, CT 06510, USA.
Anesthesiol Clin. 2021 Mar;39(1):127-138. doi: 10.1016/j.anclin.2020.11.011.
The spinal cord extends from the base of the skull to the first lumbar vertebrae from which it continues as cauda equina. Injuries to the spinal cord can lead to significant short- and long-term morbidities. Depending on the level of injury, morbidities may include acute hemodynamic changes, weakness of respiratory muscles and ventilator dependence, and loss of bowel and bladder function. Acute spinal cord injury with cord compression is a surgical emergency. Important anesthetic implications include airway stabilization and management, fluid management, and maintenance of spinal cord perfusion pressure at all times.
脊髓从颅底延伸至第一腰椎，然后继续作为马尾。脊髓损伤可导致严重的短期和长期并发症。根据损伤的程度，并发症可能包括急性血流动力学变化、呼吸肌无力和呼吸机依赖以及肠和膀胱功能丧失。伴有脊髓压迫的急性脊髓损伤是一种手术急症。重要的麻醉影响包括气道稳定和管理、液体管理以及始终保持脊髓灌注压。
