Azuma S S, Mashiyama E T, Goldsmith C I, Abbasi A S
Chest. 1986 Jan;89(1):154-5. doi: 10.1378/chest.89.1.154.
Two cases with chest compression-induced thoracolumbar transvertebral fractures are discussed. This is a previously unreported complication of cardiopulmonary resuscitation. Dorsal kyphosis and osteopenia were present in both of these cases. There was no spinal cord injury documented, though the potential for injury and paraplegia exists. Care should be taken to avoid this complication, especially in the elderly with kyphosis; however, adequate compressions to insure support of circulation should be maintained.
本文讨论了两例因胸部按压导致胸腰椎经椎骨骨折的病例。这是一种此前未被报道的心肺复苏并发症。这两例病例均存在脊柱后凸和骨质减少的情况。虽然存在脊髓损伤和截瘫的可能性,但尚无脊髓损伤的记录。应注意避免这种并发症,尤其是在患有脊柱后凸的老年人中;然而,应保持足够的按压以确保循环支持。