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臂丛神经与脊髓联合损伤的管理问题

Problems in the management of combined brachial plexus and spinal cord injuries.

作者信息

Grundy D J, Silver J R

出版信息

Int Rehabil Med. 1981;3(2):57-70. doi: 10.3109/03790798109166739.

DOI:10.3109/03790798109166739
PMID:7309400
Abstract

Despite the fact that spinal cord injury is rarely seen without other injuries, the association with brachial plexus lesions has been very infrequently reported. Eleven cases of such injuries are reported, six as a result of motorcycle accidents. The brachial plexus lesion is often overlooked because clinical attention is naturally directed to the spinal cord. The patient often is unable to give a coherent history due to head injury, and the paralysis may be thought to be due to the spinal cord lesion or the head injury. The brachial plexus lesion greatly complicates rehabilitation and requires attention to detail at all stages, preferably by rehabilitation teams experienced in this field.

摘要

尽管脊髓损伤很少在没有其他损伤的情况下单独出现,但与臂丛神经损伤相关的情况却鲜有报道。本文报告了11例此类损伤,其中6例是摩托车事故所致。臂丛神经损伤常常被忽视,因为临床注意力自然集中在脊髓上。由于头部受伤,患者往往无法给出连贯的病史,而且瘫痪可能被认为是由脊髓损伤或头部损伤所致。臂丛神经损伤使康复过程大大复杂化,在各个阶段都需要注重细节,最好由该领域经验丰富的康复团队来处理。

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