Soderstrom C A, McArdle D Q, Ducker T B, Militello P R
J Trauma. 1983 Dec;23(12):1061-5. doi: 10.1097/00005373-198312000-00008.
A review of the records of 288 patients sustaining blunt cervical column and/or cord injuries revealed that twelve (4.2%) had significant intra-abdominal injuries, all occult, and all detected by peritoneal lavage. Three of 58 patients in shock (BP less than 100 mm Hg) with neurologic deficits were found to have intra-abdominal injuries. Shock in another 15 was the result of major associated injuries and/or the loss of sympathetic vascular tone. Thus 40 of these 58 patients (69%) had neurogenic shock. An analysis of the mechanisms of injury and associated injuries indicated that those at risk of having significant intra-abdominal injury are those who have been injured in a vehicular crash and those who have other obvious major injuries that can cause shock. The data indicate that patients not at risk of having intra-abdominal injury can be selected for early attempts at anatomic cervical realignment in an effort to achieve return of neurologic function.
对288例钝性颈椎和/或脊髓损伤患者的记录进行回顾发现，12例（4.2%）有严重的腹部内伤，均为隐匿性，均通过腹腔灌洗检测到。58例伴有神经功能缺损的休克患者（血压低于100 mmHg）中有3例被发现有腹部内伤。另外15例休克是由严重的合并伤和/或交感神经血管张力丧失所致。因此，这58例患者中有40例（69%）发生神经源性休克。对损伤机制和合并伤的分析表明，有严重腹部内伤风险的是那些在车祸中受伤的患者以及那些有其他可导致休克的明显重伤的患者。数据表明，对于没有腹部内伤风险的患者，可以选择早期尝试进行颈椎解剖复位，以努力恢复神经功能。
