Clinical Features and Treatment Approach for Patients with Bronchopulmonary Complications in Acute and Early Periods of the Spine and Spinal Cord Injury

Клинические особенности и тактика лечения пациентов с бронхолегочными осложнениями в остром и раннем периодах позвоночно‑спинномозговой травмы Objective. To study the patterns of clinical manifestations of bronchopulmonary complications in acute and early periods of the spine and spinal cord injury. Material and Methods. Treatment results of 30 patients with closed complicated spine and spinal cord injuries in acute and early period were analyzed. Clinical manifestations of bron-chopulmonary complications were investigated. The study included clinical, neurologic, radiological, electrophysiological, endoscopic, and bacteriological methods. Results. Bronchopulmonary complications developed in 24 (80%) patients. The evident signs of respiratory insufficiency in patients typically occur at third day irrespective of wether they underwent surgical intervention or not. Respiratory insuf-ficiency is caused by high grade neurological deficit. The treatment of patients with bronchopulmonary complications developed in early period of cervical spine and spinal cord injury in nearly 2/3 of cases is associated with a change of microflora what requires a timely correction of antibacterial therapy. Conclusion. The timely sanitation bronchoscopy permits clinically significant reducing of indications for tracheotomy and artificial pulmonary ventilation. зав. отделением нейрохирургии.