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目的总结颅颈联合伤的临床观察和急救护理。方法对35例颅脑损伤合并颈椎、颈髓损伤患者要求早期发现和诊断;在急救和搬运过程中,保证生命的前提下避免再加重脊柱骨折和脊髓损伤;在救治过程中兼顾颅脑伤和脊髓伤两方面,始终维持颈椎的连续性和稳定性;保持呼吸循环的稳定,减少颈髓缺血性损害,力争恢复和改善脊髓功能。对使用呼吸机辅助治疗者加强气道管理,并注重营养支持和脱机训练。结果3l例患者得到迅速有效的救治,抢救成功率达90%以上,有效地降低了死亡率和致残率。结论颅颈联合伤维持颈椎连续性和稳定性,减少颈髓缺血性损害非常重要。
Objective To summarize the clinical observation and emergency nursing of craniocerebral injury. Methods 35 patients with traumatic brain injury and cervical spinal cord injury were required to be detected and diagnosed early. In the process of emergency treatment and handling, the spinal fracture and spinal cord injury should be avoided under the premise of ensuring life. In the course of treatment, both craniocerebral injury and spinal cord Both injuries, and always maintain the continuity and stability of the cervical spine; to maintain the stability of the respiratory cycle, reduce ischemic cervical spinal cord injury, and strive to restore and improve spinal cord function. Enhance airway management with ventilator-assisted therapy and focus on nutrition support and off-line training. Results 3l patients were prompt and effective treatment, rescue success rate of 90% or more, effectively reducing the mortality and morbidity. Conclusion Craniocervical joint injury sustained cervical continuity and stability, reduce ischemic cervical spinal cord injury is very important.