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The golden 8 hours of spinal cord injury

BY Iris Wheatley 2020-08-01

  In orthopedics clinics, spinal cord injuries are very common. For example, falls and falls, especially trauma caused by car accidents, and even rear-end collisions. If you catch a cervical spondylosis patient sitting in a car, you may cause spinal cord injury.

   For the spinal cord caused by sports Injuries are more common, and I remember when Roald, chairman of the FIVB Medical Committee, during the Olympics When Professor Bahr learned that I was a spine surgeon, he smiled and said, "You can also be a medical manager in a gymnasium." Indeed, when I was in high school, I heard that a student in our school in the same district accidentally fell into a spinal cord injury due to a fall due to accidental fall when practicing gymnastics.

  Since engaged in spine surgery, he has been exposed to many patients with spinal cord injury, paralyzed in bed, limb failure, unable to take care of themselves... really sympathetic. In fact, the most important thing is to deal with it at an early stage, and sometimes there will be very different changes. For example, "prednisolone shock therapy" within 8 hours of spinal cord injury.

  Metophenol is a synthetic hormone with strong anti-inflammatory, immunosuppressive and anti-allergic functions. In acute spinal cord injury, early use of methylprednisolone in large doses can reduce tissue The release of harmful substances and spinal cord ischemia after trauma minimize the progress of spinal cord tissue damage. However, the treatment of spinal cord injury with methylprednisolone must adhere to the "early, large" feature, that is, it should be used within 8 hours after the injury, and an ultra-large dose of shock therapy should be used. Otherwise, it can basically be regarded as invalid.

   I once encountered a patient with spinal cord injury from a remote rural area. When I came to me, I had tossed and turned around the village health center, health center, and central health center... More than 8 hours-this precious 8 hours, and the characteristic of spinal cord injury is irreversible.

   Therefore, no matter whether it is the scene of a car accident, or a sports venue, whether it is a building, a building, or a wild suburb, once the spinal cord appears When you are injured, you should be rescued and transported in time just like saving heart disease. Otherwise, there will be one more unfortunate person and one more unfortunate family in society. The golden hour of spinal cord injury is 8 hours, and every second counts.

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