Silver J R, Morris W R, Otfinowski J S
Injury. 1980 Nov;12(3):219-24. doi: 10.1016/0020-1383(80)90011-x.
The associated injuries found in 100 consecutive spinal injuries are described. Fifty-one of the patients had injuries of the cervical cord, 31 per cent complete. A total of 75 per cent of the patients had associated injuries, the commonest being a head injury. Chest injuries were the next most frequent. The management of these injuries in the presence of a severe spinal injury is described. The importance of early tracheostomy and prophylactic anticoagulant therapy is stressed in reducing the mortality to the order of 2 per cent. The value of spinal injury units is emphasized.
本文描述了连续100例脊柱损伤患者所伴发的损伤情况。51例患者存在颈髓损伤，其中31%为完全性损伤。共有75%的患者伴有其他损伤，最常见的是头部损伤。胸部损伤次之。文中描述了在严重脊柱损伤情况下对这些损伤的处理方法。强调了早期气管切开术和预防性抗凝治疗在将死亡率降至2%左右方面的重要性。同时强调了脊柱损伤治疗单元的价值。
