胸椎骨折伴瘫痪和食管穿孔。
Fracture of the thoracic spine with paralysis and esophageal perforation.
作者信息
Brouwers M A, Veldhuis E F, Zimmerman K W
机构信息
Department of Traumatology, Groningen University Hospital, The Netherlands.
出版信息
Eur Spine J. 1997;6(3):211-3. doi: 10.1007/BF01301440.
Abstract
A 17-year-old young man presented with a highly unstable fracture dislocation of the third and fourth thoracic vertebrae with neurological deficit, in which the fractured spine had perforated the thoracic esophagus. Open reduction and internal fixation of the spinal fractures in combination with aggressive treatment of the mediastinitis caused by esophageal perforation, consisting of two re-thoracotomies, was performed. Two years after the accident, the patient had recovered well. The neurological deficit had recovered, and there were no difficulties with swallowing.
摘要
一名17岁青年因第三和第四胸椎高度不稳定骨折脱位伴神经功能缺损就诊，骨折的脊柱已穿透胸段食管。对脊柱骨折进行切开复位内固定，并积极治疗由食管穿孔引起的纵隔炎，包括两次再次开胸手术。事故发生两年后，患者恢复良好。神经功能缺损已恢复，吞咽也没有困难。
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