朱钊民;许政;王智巍;席焱海;谢宁;叶晓健;陈坤;

• 1:长征医院骨科医院

摘要(Abstract)：

[目的]探讨急性颈髓损伤患者转院对死亡率的影响。[方法]回顾性分析上海长征医院2010年1月~2014年12月脊柱外科病房收治的急性颈髓损伤患者412例,分析是否转院与损伤节段、损伤严重程度[美国脊柱脊髓损伤协会(ASIA)分级A-D级]、年龄、住院日、住院费用之间的相关关系,探讨转院对于颈髓损伤患者大小的关系。[结果]转院组平均住院日(9.76±4.60)d,直接入院组(7.30±2.87)d,t=-4.66,P<0.001;受伤至手术间隔天数转院组(18.55±9.94)d,直接入院组(14.34±11.24)d,t=-3.37,P=0.001;ASIA分级B、C级转院组及直接入院组死亡率差异无统计学意义(P>0.005);转院组死亡人数5例(6.00%),直接入院组8例(2.40%),χ2=2.70,P=0.10;住院费用转院组115 154.88±37 045.66元。直接入院组(88 843.18±23047.96)元,t=-6.21,P<0.001。[结论]转院组患者死亡率与本院直接收治入院组相仿,但平均住院日及住院总费用明显较高。对于脊髓损伤较重且需要手术治疗的患者而言转院并不影响其死亡率,为获得更好手术的治疗可转至上级医院。

关键词(KeyWords)： 颈髓损伤;AISA分级;转院;死亡率

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 朱钊民;许政;王智巍;席焱海;谢宁;叶晓健;陈坤;

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参考文献(References)：

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