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三例儿童脊髓损伤的罕见病例。

Three unusual cases of spinal cord injury in childhood.

作者信息

Renard M, Tridon P, Kuhnast M, Renauld J M, Dollfus P

出版信息

Paraplegia. 1978 May;16(1):130-4. doi: 10.1038/sc.1978.22.

Abstract

Three cases of unusual traumatic spinal cord injuries are reported. The cases were referred to the neurosurgical unit of Nancy, one tetraplegia and one paraplegia caused by transfixing wounds which were overlooked after the injury. The transfixing wound caused an associated meningitis with tetraplegia, and in the second case the initial small plural effusion associated with paraplegia even, in a very short while, evoked a possible diagnosis of leukaemia amongst others, until the knowledge of trauma had been ascertained, the child being then immediately transferred to the neurosurgical unit. Spanking, in the last case, was the cause of an important luxation of T12-L1, at first with a complete paraplegia, and was associated with the fact that the child was only seen a few days after by a doctor and immediately referred. The child made a full recovery from his paraplegia.

摘要

报告了三例特殊的创伤性脊髓损伤病例。这些病例被转诊至南锡的神经外科病房,其中一例四肢瘫痪,一例截瘫,损伤后均漏诊了贯通伤。贯通伤导致了伴有四肢瘫痪的脑膜炎,在第二例中,最初与截瘫相关的少量胸腔积液,甚至在很短时间内引发了包括白血病在内的多种可能诊断,直到确定创伤情况,该患儿随后立即被转至神经外科病房。在最后一例中,打屁股是导致T12-L1严重脱位的原因,起初患儿完全截瘫,且受伤几天后才被医生诊治并立即转诊。该患儿截瘫完全康复。

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