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[与周围神经损伤相关的战伤康复]

[Rehabilitation of war injuries associated with peripheral nerve lesions].

作者信息

Cujić M

机构信息

Klinika za medicinsku rehabilitaciju, Medicinski fakultet, Novi Sad.

出版信息

Med Pregl. 1996;49(11-12):469-72.

PMID:9019630
Abstract

The objective of this study was to examine frequency, characteristics and results of hospital medical rehabilitation of war injured patients with peripheral nerve lesions. War injured patients with peripheral nerve lesions make 10.83% of all war injured hospitalized patients. The major etiologic factor in these injuries were firearms. Most injured aged 26 to 36 years of age, whereas men were injured more often than women. The injuries were primarily localized in the regions of axilla, upper leg and upper arm. In regard to upper extremities injuries most often occurred on the right side or bilaterally. Injuries of n. ischiadicus, combination of n. ulnaris and n. medianus occurred more frequently than injuries of other peripheral nerves. Electromyoneurographic and neurosurgical findings point to frequent partial-severe and complete nerve lesions. After hospital treatment lasting 4.6 months on the average, unsatisfactory functional reparation was found in most injured patients. This demands further control, continuous medical as well as social and professional rehabilitation.

摘要

本研究的目的是调查患有周围神经损伤的战争伤员的医院医学康复频率、特征及结果。患有周围神经损伤的战争伤员占所有住院战争伤员的10.83%。这些损伤的主要病因是火器。大多数受伤者年龄在26至36岁之间,男性受伤的频率高于女性。损伤主要集中在腋窝、大腿上部和上臂区域。就上肢损伤而言,最常发生在右侧或双侧。坐骨神经损伤、尺神经和正中神经联合损伤比其他周围神经损伤更频繁。肌电图和神经外科检查结果表明,经常出现部分-严重和完全性神经损伤。在平均持续4.6个月的住院治疗后,大多数受伤患者的功能修复情况不尽人意。这需要进一步的检查、持续的医学以及社会和职业康复。

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