2008年6月16日 星期一

SCI使用steroid之缺點

Early complications of high-dose methylprednisolone in acute spinal cord injury patients


Injury, Int. J. Care Injured (2008) 39, 748—752

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急診夜未眠 提到...

ATLS 7th edition
In North America high dose methyprednisolone given to the patient with nonpenetrating spinal cord injury . . . is a currently accepted treatment

ATLS 8th edition (預計今年10月出版)
There is insufficient evidence to support the routine use of steroids in spinal cord injury at present.

資料來源 J Trauma. June 2008;64:1638-1650.
ATLS, 8th Edition, The Evidence for Change.