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儿科胸脊椎骨折和相关损伤的流行病学:一个单一中心的经验
Habibullah Dolgun1, Muhammed Erkan Emrahoğlu2, Erdal Reşit Yılmaz2
1Department of Neurosurgery, Etlik City Hospital, Ankara, Turkey. cshdolgun@yahoo.com.
概括
儿科胸脊椎骨折很少见,但很严重,通常是由可预防的事故引起的. 较年轻的儿童 (<8岁) 患有轻微骨折可能会有相关的伤害,而不是较大的儿童,主要骨折与器官损伤相关.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 胸脊椎骨折在儿科患者中并不常见.
- 这些伤害可能是由于可预防的事故造成的,并造成严重后果.
- 了解受伤模式的年龄相关差异对于有效管理至关重要.
研究的目的:
- 调查儿童胸脊椎骨折的流行病学.
- 描述这些骨折的儿科患者的相关损伤.
- 为了确定较年轻和较年长的儿科年龄组之间的受伤模式的差异.
主要方法:
- 对61名患有胸脊椎骨折的儿科患者 (<18岁) 的回顾性研究.
- 患者被分为两个年龄组:≤8岁 (组1) 和>8岁 (组2).
- 分析包括年龄,性别,骨折类型,病因和相关伤害.
主要成果:
- 机动车事故 (39.4%) 和从高处落 (18%) 是主要原因.
- 骨科伤害是最常见的相关伤害 (34.3%).
- 与较大的儿童相比,小骨折的8岁以下儿童的胸内损伤发生率较高.
结论:
- 儿童胸脊椎骨折需要注意,因为可预防的原因和潜在的严重程度.
- 年龄显著影响相关伤害的特征.
- 即使是较小的骨折在较小的儿童 (<8岁) 可以呈现与相关的伤害,而老年儿童通常持续与重大骨折相关的伤害.
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