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《Practical Journal of Medicine & Pharmacy》 2015-08
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Prevention & treatment and pathogenesis discussion of hypoproteinemia after acute cervical spinal cord injury

WANG Fei;YU Da-peng;ZHAO Ting-bao;Dept. for Repairing Spinal Cord,the General Hospital of Jinan Military Region;  
Objective To analyse hypoalbuminemia(Hypoproteinemia) mechanism following acute cervical spinal cord injury(acute cervical spinal cord injury,ACSCI),and to discuss its clinical features,as well as effective prevention and treatment methods. Methods The changes in the characteristics of 145 cases of spinal cord repair ACSCI patient's blood albumin from June 2012 to March 2014 in the General Hospital of Jinan military region.The older group included 65 patients grouped into(≥60 years old) the young group(60 years,80 cases);lung infection tracheotomy group(80 cases),no lung infection trachea uncut group(65 cases);110 cases were of completely injury group,35 patients incomplete injury;C2-C3 group of 20 cases,C4-C5 group of 85 cases;C6-C7 group of 40 cases who underwent the following tests:after admission were given with intravenous albumin and intestinal nutrition as early as possible and were encouraged self-feeding,blood was sampled every three days to be reexamination such as liver and kidney function indicators so as to analyze their serum albumin trends and to judge when to give the patient an intravenous infusion of albumin most effectively. SPSS15.0 software was applied for statistical analysis,t test was used in comparison inter- and intra- groups,P 0.05 when the difference was statistically significant. Results Differences of inter- groups was not statistically significant at admission(P0.05).In cervical spinal cord C4-C5 segments injury the incidence of low protein was significantly higher than other segments;in complete cervical spinal cord injury hypoproteinemia possibility was much higher than the incomplete cervical spinal cord injury. Lung infection inducing hypoalbuminemia was an important factor. 18 d,before admission,there were significant differences between both groups(P 0.05). Both's albumin index roughly was of the same trend. Conclusion Serum albumin after acute cervical spinal cord injury decreases rapidly,clinical treatment to correct it is of the difficulties;the impact of hormone therapy in the treatment of concurrent infections,and many other factors can all aggravate hypoalbuminemia;the patients with low protein induced by cervical spinal cord injury who can not eat immediately are given timely and adequately amounts of nutritional support as well as human serum albumin infusion which could effectively reduce the incidence of hypoal-buminemia;lung infections could aggravete hypoproteinemia.
【CateGory Index】: R651.2
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【Citations】
Chinese Journal Full-text Database 4 Hits
1 Li Shuangming, Chen Weixin (Department of Neurosurgery, Guangzhou Municipal Re d Cross Hospital ,Guangzhou 510220,China);Clinical evaluation of using high dose of methylprednisolone to treat severe cases in neurosurgery[J];Guangdong Pharmaceutical Journal;2003-04
2 ;早期肠内营养在全胃切除术后的应用[J];Chinese Journal of Practical Surgery;2008-09
3 LI Wen, LIN Zhi-xiong, CHEN Yi, YU Nan-sheng, WU Mei-xiang. Department of Orthopaedics, First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510120,China;Operative treatment of the cervical spinal cord injury without fracture or dislocation[J];Chinese Journal of Trauma;2005-07
4 HAO Chun-xia,LI Jian-jun,ZHOU Hong-jun,et al.Capital Medical University School of Rehabilitation Medicine,Beijing Charity Hospital,China Rehabilitation Research Centre,Beijing 100068,China;Epidemiology Characteristics of Spinal Cord Injury in Hospital:1264 Cases Report[J];Chinese Journal of Rehabilitation Theory and Practice;2007-11
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 SUN Zhongyi,CHEN Bohua,HU Yougu,MA Xuexiao,YUE Bin (Department of Spinal Surgery,The Affiliated Hospital of Qingdao University Medical College,Qingdao 266003,China);THE VALUE OF CHINA NATIONAL SPINAL CORD INJURY DATABASE IN THE ANALYSIS OF PATIENTS WITH ACUTE SPINAL CORD INJURY[J];Acta Academiae Medicinae Qingdao Universitatis;2012-02
2 LIU Jing-tian,YU Jian-ping,ZHANG Yong,WU Guang-bin,HUANG An-zhong,ZHU Dan-feng (Department of General Surgery,Jinshan Hospital,Fudan University,Shanghai 200540,China);Clinical effects of postoperative early enteral nutrition for the gastric cancer patients with diabetes[J];Parenteral & Enteral Nutrition;2012-01
3 ZHOU Xi-yuan,LIU Kai-jun(Department of Trauma Surgery,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China);Treatment of head injury combined with cervical spine and spinal cord injury[J];Journal of Traumatic Surgery;2010-06
4 HOU Tian-yong,LIU Fa-ping,ZHOU Qiang,XU Jian-zhong,TAN Zu-jian,DAI Fei,HE Qing-yi(Department of Orthopaedics,Southwest Hospital,Third Military Medical University,Chongqing 400038,China);Clinical efficiency and prognosis of spinal cord injury caused by stab wound[J];Journal of Traumatic Surgery;2012-01
5 ;胃癌根治术后肠内营养与肠外营养的早期临床效果比较[J];Contemporary Medicine;2010-28
6 Yu Tieqiang,Feng Shiqing,Jiao Xinxu,et al.Department of Orthopaedics,the 2nd Hospital of Tangshan,Tangshan,063000;Epidemiology Characteristics of Inpatients with Thoracic Traumatic Spinal Cord Injuries in Tianjin[J];Chinese Journal of Bone and Joint Injury;2011-04
7 LI Sheng-hua 1,GUO Ping-de2 1 Gansu Province of Chinese Medicine Hospital,Lanzhou Gansu China 730050;2 Gansu College of TCM;Status and Progress of the Treatment of Spinal Cord Injury[J];Gansu Journal of Traditional Chinese Medicine;2010-02
8 CHEN Kai,ZHANG Li(Key Laboratory of Ministry of Education of the People’ s Republic of China,School of Orthopaedics and Traumatology of TCM,Fujian University of Traditional Chinese Medicine,Fuzhou 351008,China);Research on the study of protective effects and mechanism of Salvia Miltiorrhiza and its preparations on spinal cord injury[J];China Journal of Traditional Chinese Medicine and Pharmacy;2012-11
9 Jia Congzheng,Zhang Jianqun,Tan Lin,et al Department of Oncosurgery,Lu'an Hospital of Traditional Chinese Medicine,Lu'an 237006,China;Clinical application of early postoperative enteral nutrition in patients with esophageal cancer[J];Anhui Medical Journal;2013-04
10 ;Treatment of mid-upper thoracic spine fracture with severe polytrauma[J];Journal of Traumatic Surgery;2013-03
【Secondary Citations】
Chinese Journal Full-text Database 10 Hits
1 ZHANG Qiang *, JIA Lian Shun (Department of Orthopedics,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China) [;Statistical analysis of clinical data in patients with spinal cord injury[J];Academic Journal of Second Military Medical University;2003-06
2 LIU Xiaolan, LIU Sheting, LUO Weimin,et al. Department of Spinal Surgery, The First People's Hospital, Chengzhou 423000, China;The pathogeny and surgical curative effect of cervical spinal cord injury without fracture and dislocation[J];Journal of Spinal Surgery;2004-05
3 Zhou Yun; Jiang Shu; Dong Yinghai (Depertment of Orthopaedic, The first Hospital Affiliated to Anhui Medical University, Hefei, Anhui, 230022 );The Comparative Study of Treatment in Experimental Spinal Cord Injury by Autohemotherapy of Light Quanta with High-dose Methylprednisolone Sodium Succinate[J];Chinese Journal of Traditional Medicial Traumatology & Orthopedics;1997-04
4 YANG Jin-shun,HUANG Wen-duo,WANG Sheng-biao. Department Of Orthopaedics,Second Affiliated Hospital,Guangzhou Medical College,Guangzhou 510260,China;Comparative observation on operative and non-operative effects in treatment of cervical spinal cord injury without fracture dislocation[J];Chinese Journal of Trauma;2004-06
5 CHEN Weishan, CHEN Qixin, WANG Xingli. Department of Orthopaedics, The Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou 310009, China;The effect of the expansive open-door laminoplasty on the three-dimensional motion and stiffness of the cervical spine[J];Chinese Journal of Orthopaedics;2001-04
6 Wang Zhongcheng, Wang Guihuai, Zhang Junting, et al. Beijing Neurosurgical Institute, Beijing 100050;Aggressive surgery for intramedullary tumor of high cervical spinal cord with severe respiratory insufficiency[J];CHINESE JOURNAL OF NEUROSURGERY;1998-01
7 FU Zhuang, ZHAO Jizong, ZHAO Yuanli. Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050;The effect and safety of high dose Solu Medrol on acute severe brain injuries[J];CHINESE JOURNAL OF NEUROSURGERY;1999-01
8 YE Xiao-jian,JIA Lian-shun,YUAN Wen,et al.Department of Orthopaedics, Changzheng Hospital,The Second Military Medical University,Shanghai 200003.;Features and Treatment of Cervical Spinal Injuries in the Elderly[J];The Orthopedic Journal of China;2001-08
9 LI Jian jun, ZHOU Hong jun, HONG Yi, et al.China Rehabilitation Research Center, 100068 Beijing, China;Spinal cord injuries in Beijing:a municipal epidemiological survey in 2002[J];Chinese Journal of Rehabilitation Theory & Practice;2004-07
10 ZHOU Shu-qing,WANG Ping-fen,ZHANG Hai-qing,et al.The Department of Nosocomial Infection,Beijing Charity Hospital,Beijing 100068,China;Analysis of nosocomial infection in patients with spinal cord injury[J];Chinese Journal of Rehabilitation Theory & Practice;2005-10
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