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印度农村一家综合医院的脊髓损伤管理

Management of spinal cord injury in a general hospital in rural India.

作者信息

Chacko V, Joseph B, Mohanty S P, Jacob T

出版信息

Paraplegia. 1986 Oct;24(5):330-5. doi: 10.1038/sc.1986.48.

DOI:10.1038/sc.1986.48
PMID:3774371
Abstract

Two hundred eighteen patients with spinal injury treated in a general hospital in rural India are analysed. One hundred and twenty-five of them had neurological deficit. The commonest cause for spinal injury was falling from trees (55.2%). Rescue and retrieval systems for these patients were inadequate and knowledge regarding precautions to be taken when transporting the patient was lacking. The frequency of decubitus ulceration and of urinary tract infections were unacceptably high. A high percentage of patients with cervical spine injury expired. The study highlights the necessity for appropriate preventive measures, and also reemphasizes the short-comings of treatment of spinal cord injury patients in general hospitals.

摘要

对印度农村一家综合医院收治的218例脊髓损伤患者进行了分析。其中125例存在神经功能缺损。脊髓损伤最常见的原因是从树上跌落(55.2%)。这些患者的救援和转运系统不完善,且缺乏关于患者转运时应采取预防措施的知识。褥疮和尿路感染的发生率高得令人无法接受。颈椎损伤患者的死亡率很高。该研究强调了采取适当预防措施的必要性,同时也再次强调了综合医院治疗脊髓损伤患者的不足之处。

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