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急性颈髓损伤合并抗利尿激素分泌异常综合征的影响因素
Hits: 2566   Download times: 1491   Received:August 17, 1999  Revised:November 09, 2000  
作者Author单位UnitE-Mail
李立新 LI Li xin 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
原晓景 YUAN Xiao jing 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
王瑞 WANG Rui 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
喻崇钊 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
徐海斌 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
孙永生 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
胡军 新乡医学院第一附属医院,河南卫辉453100 The 1st Affiliated Hospital of Xinxiang Medical College,Henan Weihui,453100  
期刊信息:《中国骨伤》2001年14卷,第8期,第459-461页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨急性颈髓损伤时,颈髓损伤的发病率及颈髓损伤严重程度、损伤平面、年龄、感染及颅脑损伤与抗利尿激素分泌异常综合征(SIADH)之间的关系。

方法:对37例颈髓损伤患者按年龄、损伤程度、损伤平面、合并感染及颅脑损伤情况分组,而后进行统计学分析。

结果:本组共19例合并SIADH,发病率为51.35%.年龄、颈髓损伤的程度、损伤平面与SIADH的发病率无关;与颈髓损伤的程度有明显关系;合并感染特别是肺炎SIADH的发病率明显增高。

结论:急性颈髓损伤时SIADH的发病率与颈髓损伤的程度和感染有明显关系,与年龄、损伤平面无关。颅脑损伤可能是SIADH的重要诱因
[关键词]:脊髓损伤    抗利尿激素分泌不当综合征
 
Acute cervical spinal cord injury associated with syndrome of abnormality of antidiuratic hormone secretion an analysis of the influencing factors
Abstract:

Objective:To explore the relationships between the syndrome of abnormal antidiuratic hormone secretion(SIADH) with the incidence,degree of seriousness of cervical spinal cord injury,traumatic level,age,infection and cranio cerebral injury

Methods:37 cases of cervical spinal cord injury were classified by their age,degree of seriousness of injury,combined infection and cranial cerebral injury,and then made a statistical analysis.

Results:In this series of 37 cases of cervical spinal cord injuries,the incidence of combined SIADH was 51.35%(19/37),of which,the incidence of SIADH was not related to their age and the levels of trauma of cervical spinal cord,however,it was clearly related to the degree of seriousness of cervical spinal cord injury,there was a sharp increase in the incidence of SIADH resulted from combined infection,especially pneumonia.

Conclusion:The incidence of SIADH is clearly related to the degree of seriousness of cervical spinal cord injury and the infection but not to their age,traumatic plane in acute cervical spinal cord injury.And cranio cerebral injury may be the inducing facfor of SIADH.
KEYWORDS:Spinal  cprd  injuries  Neck  Inappropriate  ADH  syndrome
 
引用本文,请按以下格式著录参考文献:
中文格式:李立新,原晓景,王瑞,喻崇钊,徐海斌,孙永生,胡军.急性颈髓损伤合并抗利尿激素分泌异常综合征的影响因素[J].中国骨伤,2001,14(8):459~461
英文格式:LI Li xin,YUAN Xiao jing,WANG Rui.Acute cervical spinal cord injury associated with syndrome of abnormality of antidiuratic hormone secretion an analysis of the influencing factors[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(8):459~461
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