Meinecke F W
Unfallchirurgie. 1984 Jun;10(3):152-8. doi: 10.1007/BF02585807.
Concerted investigations conducted within a period of seven years by the special centres of primary treatment of patients with paraplegia in the German Federal Republic show nearly constant distributions: injuries 84%, road accidents 48%, tetraplegia 39%. Every hospital must be able to perform the primary treatment of patients with paraplegia. A detailed primary examination is necessary. 20% of the patients suffer from a traumatic shock, which is frequently mistaken for a spinal shock. In 60% of the patients associated injuries of varying importance are found. Intensive control is therefore indispensable. Indications for surgery intended to ameliorate a paralysis are extremely rare, they are more frequent with the intention of stabilizing the spine. Conservative treatment of the spine is still very important in these injuries. Today, recent paraplegics are quickly admitted to the special services, eventually through the intermediary of the central office in Hamburg. The above aspects are briefly explained.
受伤占84%，道路交通事故占48%，四肢瘫痪占39%。每家医院都必须能够对截瘫患者进行初级治疗。详细的初步检查是必要的。20%的患者患有创伤性休克，这常常被误诊为脊髓休克。在60%的患者中发现了不同程度的相关损伤。因此，强化控制是必不可少的。旨在改善瘫痪状况的手术指征极为罕见，而旨在稳定脊柱的手术指征则更为常见。在这些损伤中，脊柱的保守治疗仍然非常重要。如今，近期的截瘫患者会很快被收治到专门科室，最终可能通过汉堡中央办公室中转。以上方面将作简要说明。
