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脊髓损伤患者的泌尿系统并发症与死亡率

[Urologic complications and mortality among spinal cord injury patients].

作者信息

Shlenev A G, Abilova A N

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1980 Mar-Apr(2):26-9.

PMID:7386093
Abstract

The direct causes of death of 73 patients in different periods after injuries to the spinal cord are analysed. Two groups of the decreased are distinguished depending on the results of pathological examination: those with marked neurodystrophic and inflammatory changes in the organs of the urinary system which had not been the direct cause of death, and individuals in whom death had been caused by urological complications. These complications were the direct cause of death of 49.4% of patients with injuries to the spinal cord. The most frequent cause of death on the part of the urinary organs in the initial and early restoration periods was urosepsis; in the late restorative and residual periods death in most cases was caused by chronic renal insufficiency.

摘要

分析了73例脊髓损伤后不同时期的直接死亡原因。根据病理检查结果区分出两组死因:一组是泌尿系统器官有明显神经营养不良和炎症改变但并非直接死因的患者,另一组是因泌尿系统并发症导致死亡的患者。这些并发症是49.4%脊髓损伤患者的直接死因。在初期和早期恢复阶段,泌尿器官最常见的死亡原因是尿脓毒症;在后期恢复和后遗症阶段,大多数病例的死亡是由慢性肾功能不全引起的。

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