摘要
脊椎损伤后，脊髓损伤平面持续上升较为少见。作者报告了５例，其中Ｔ１０～１１骨折脱位２例：１例于伤后２周内，截瘫平面上升至Ｃ２，呼吸麻痹死亡，１例上升至颈部脊髓，双上肢无力；另３例为Ｔ１２骨折２例，Ｌ３骨折１例：其中截瘫平面上升至Ｔ９者１例，Ｔ８者２例。５例患者双下肢皆呈软瘫，１例死亡患者尸检见脊髓完整，Ｔ９～１０段脊髓前后动静脉血栓，其向上至Ｃ３，向下至Ｓ１，脊髓前血管、中央血管、髓内小血管多处血栓，脊髓缺血坏死。作者对创伤性上升性脊髓缺血损伤的病因及发生机理进行了讨论。
We report five cases that the paraplegic level showed ascending from the segment of spinal injury upward to the higher level.In T 10 11 fracture dislocation,the paraplegic level ascended gradually to C 2 3 in case 1 within 10 days and death due to breathing paralysis. In case 2,the paraplegic level ascended to cervical cord with loss of strength in both arms within 14 days.The remaining 3 cases were T 12(in 2 cases) and L 3(1 case) fracture.Their paraplegic level ascended to T 8(2 cases) and T 9(1 case).There were lower motor neuron paralysis in all cases.Observation on spinal cord specimen of case 1 showed thrombosis of dorsal vessels at T 9 10 segment and multiple thrombosis were found in anterior spinal vessels, central spinal vessels and intramedullar small vessels upward to C 3 and downward to S 1 segments. The whole cord underwent ischemic necrosis.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第10期623-626,I088,共5页
Chinese Journal of Surgery
关键词
脊髓损伤
创伤性
病因
Spinal cord injuries Spinal injuries
