Management of the aged patients with cervical cord injury.

概要

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The aged patient over 65 years old has physiological changes due to aging and also frequently, pathological conditions of the pulmonary-cardiac and vascular systems.These changes and conditions are complicated with the paralytic condition of respiratory or non-respiratory quadriplegia and autonomous nervous system insufficience due to a transacted cervical cord.In this paper, from our therapeutic experience of 24 patients with a severely paralytic condition, general management for the aged patients is described in detail, especially about the respiratory and cardiac problems.5 patients died from associated pneumonia and DIC during admission and 2 patients died from respiratory obstruction at home.The treatment of the aged patients with a transacted cervical cord should be directed towards the general condition rather than the cervical structural malalignment.
西日本整形・災害外科学会の論文