Rish B L, Dilustro J F, Salazar A M, Schwab K A, Brown H R
Department of Neurosurgery, Eastern Virginia Medical School, Norfolk, VA, USA.
Mil Med. 1997 Feb;162(2):141-8.
The morbidity and mortality occurring during 25 years following spinal cord injury were analyzed. A cohort of 230 patients was selected from the Vietnam Head and Spinal Cord Injury Study Registry meeting the following criteria: (1) survival beyond triage (72 hours); (2) significant myelopathy; and (3) availability of medical records. The military and Veteran's Hospital medical records were compiled and reviewed. Additional death records were obtained from the Department of Veterans Affairs pension office. The major morbidity problems continue to be sepsis related to genitourinary and decubiti sequelae. Psychosocial maladjustment and substance abuse were prevalent and created heavy health care demand. The most frequent cause of death was sepsis. Suicide in the paraplegic group occurred at a rate exceeding by 10 times the frequency reported for uninjured peers. Survival after 5 years approached but never reached the rate established for uninjured peers.
对脊髓损伤后25年内发生的发病率和死亡率进行了分析。从越南头部和脊髓损伤研究登记处选取了230名符合以下标准的患者队列：(1) 分诊后存活（72小时）；(2) 严重脊髓病；(3) 有医疗记录。收集并审查了军事和退伍军人医院的医疗记录。从退伍军人事务部养老金办公室获得了额外的死亡记录。主要的发病问题仍然是与泌尿生殖系统和褥疮后遗症相关的败血症。心理社会适应不良和药物滥用很普遍，产生了沉重的医疗保健需求。最常见的死亡原因是败血症。截瘫组的自杀发生率比未受伤同龄人报告的频率高出10倍。5年后的生存率接近但从未达到未受伤同龄人确定的比率。
