The Correlated Study Of Cervical Spinal Cord Injury Causing Early Death

Objectives The study was designed to discover the correlative factors and main reason of early death after cervical spinal cord injury, to find the issue during early treating and curing, to improve the treating measure and to reduce the early mortality. Methods The correlative factors,main reason of early death and issue during treating and curing was established by a retrospective study on 1185 case of cervical spinal cord injury. The derivation of phrenic nerve was study by anatomy on corpse and rats. The power of phrenic after traversing cervical spinal cord at varying level was tested by MEP of phrenic. The early treating measure on patients of cervical spinal cord injury was improved according to the results of the retrospective and experimental study, and was researched by a prospective clinical study. Results Ages, degree of spinal cord injury, segment of spinal cord injury, operation and tracheotomy was correlated to early mortality. The death time was influenced by segment of spinal cord injury. Respiratory nonfunction was main reason of early death. The phrenic nerve's derivation was variety, which would have resulted in different outcome for those patients who were suffering from the same level injury. The MEP of diaphragma could make for checking the motivation of diaphragma. The mortality of cervical spinal cord injury had been cut down by improving the treat measure. Conclusions Eld, cervical spinal cord complete injury, cervical spinal cord high segment injury were risk factors for early death. Good intravenous nutrition, energetic operation and reasonable respiratory administration could cut down early mortality rate for patient of cervical spinal cord injury.