上颈椎骨折的重要并发症1例。

D W Hodgkinson, D J Bamford, P Driscoll
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引用次数: 8

摘要

本文报告了一例颈椎高位骨折的病例,并讨论了可能的损伤机制和骨折的细节。事故发生48小时后,患者出现双侧迷走神经麻痹。这种并发症只有在吞咽困难和吸入性肺炎发生后才被发现。吸入性肺炎并发症是可以预防的。在这种类型的损伤中,建议仔细和反复检查脑神经功能。只有在反复检查脑神经功能正常后才能开始正常喂养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An important complication of upper cervical spine fracture: a case report.

A case report is presented of a patient who sustained a high cervical spine fracture, the possible mechanisms of injury and details of the fracture are discussed. The patient developed bilateral vagal nerve palsies 48 h after the accident. This complication was only recognized after dysphagia and an aspiration pneumonia developed. The complication of aspiration pneumonia was preventable. Meticulous and repeated examination of the cranial nerve function in this type of injury is recommended. Normal feeding should commence only when the cranial nerve function has been shown to be normal after repeated examination.

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