冬季牧区摔伤致截瘫并冻伤5例的救治
Journal of the Fourth Military Medical University(2007)
Abstract
1 临床资料 5例均为男性,年龄19~35岁,4例从山上坠落,1例从马背上坠落,被他人发现救治时3~5 h,4例为腰椎骨折,1例为胸腰段骨折,完全性截瘫1例,不全性截瘫4例,有3例合并有胫腓骨开放性骨折,四肢均有不同程度冻伤,其中3例Ⅱ°~Ⅳ°冻伤,2例Ⅲ°~Ⅳ°冻伤,经现场急救、院内临床治疗及肢体冻伤治疗,随访2~3 a,1例完全性截瘫,其余4例双下肢肌力均在Ⅲ级以上,大小便正常,感觉功能恢复正常,冻伤创面经植皮及皮瓣转移后创面完全愈合,可正常劳动. 1例患者左手环、小指末节干性坏疽并截指,功能影响不大.
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