粤东地区一名9岁男童小刚，酷爱玩IPAD上的电子游戏，可以一连三四个小时不言倦。日前，他突然开始哭闹，不断叫嚷“肩头痛”，甚至连手都没办法抬起来。当地医生诊断，小刚患上颈椎病。广东省人民医院骨外科门诊显示，近年电子产品大热，门诊10~20岁青少年骨科患者明显增多，专家提醒，长时间保持同一个姿势容易损伤肌肉及韧带，玩电脑等电子产品，每隔30分钟就要休息数分钟，出现颈肩损伤要及时就医，否则3个月至半年可致慢性颈椎病。

Eastern guangdong a nine-year-old boy xiao gang,Love to play on the iPad electronic games,For three or four hours can be said tiredly.a,He suddenly began to cry,Constantly scream"Shoulder headache",Even the hands are no way up.The local doctor has diagnosed the,Xiao gang suffering from cervical spondylosis.Guangdong province people's hospital bone surgery clinic display,In recent years, electronic products, and heat,Outpatient service ten to twenty years old young orthopaedic patients increased obviously,The expert reminds,Long time to keep the same posture easy injury muscle and ligament,Playing computer and other electronic products,Every 30 minutes to rest for a few minutes,Appear neck shoulder injury to timely seek medical advice,Or three months to half a year can cause chronic cervical spondylosis.

　病例： cases:

　　九岁娃玩出颈肩损伤 Nine years old Eva play neck shoulder injury

　　小刚今年9岁，父母都是繁忙的生意人，因此陪伴小刚成长的除了书本就是游戏机。上个月，父母给小刚买了一台最新版本的IPAD作为生日礼物。没想到小刚一下子迷得不行，放学后就玩，可以一连三四个小时不言倦。20多天过去，小刚开始哭闹不止，叫嚷肩膀很痛，手抬一下都痛得要命。

Xiao gang 9 years old this year,Parents are busy businessman,So with xiao gang growth of books is game.Last month,Parents give xiao gang bought a new version of the iPad as a birthday gift.I didn't think xiao gang at a draught fan,After school will play the,For three or four hours can be said tiredly.More than twenty days in the past,Xiao gang starts crying more than,Clamor shoulder pain,Hand to lift all pain to death.

　　父母只得带孩子去当地医院看病，医生诊断为颈椎病，建议动手术。无奈之下，一家三口赶至省城大医院看个究竟。

Parents have to take children to the local hospital,The doctor diagnosis of cervical spondylosis,Suggest an operation.Helpless under,A family of three cast to the provincial capital large hospital to see what had happened.

　　“颈椎病还不至于，但确实是较严重的颈肩损伤了。”广东省人民医院骨外科主任郑秋坚表示，颈肩劳损常见于长期对着电脑的年轻人，因为保持同一姿势太久，视野固定、眼睛焦距固定，负责“Hold住”姿势的肌肉、韧带长期紧张，发生痉挛、收缩，形成疲劳损伤。患者最主要的感觉就是疼痛和活动受限，还会引起头晕、休息睡眠不好甚至注意力不能集中。

"Cervical spondylosis is not,But it is more serious neck shoulder the damage."Guangdong province people's hospital of bone surgery ZhengQiuJian said,Neck shoulder strain common to the computer for a long time the young man,Keep the same position for too long,Vision fixed/Eyes fixed focal length,Responsible for"Hold live"Posture muscles/Ligament long-term nervous,Go into spasm/contraction,Formation fatigue damage.The main patients feel pain and activities is limited,Still can cause dizziness/Rest sleep and even can't concentrate.

　　郑秋坚证实，颈肩劳损这一“电脑病”自从PSP、IPAD、IPONE等手持终端式电子产品流行，低龄化趋势日渐明显，尤其是10~20岁的青少年群体，大、中、小学生都有，令人担忧。此外，玩电脑或看电视姿势长期不当，还可能导致歪脖子、胸锁乳头肌、斜方肌及韧带痉挛、损伤。

ZhengQiuJian confirmed,Neck shoulder strain this"DianNaoBing"Since the PSP/iPad/IPONE with terminal type electronic products such as fashion,DiLingHua trend is obvious,Especially the ten to twenty years of age groups,big/in/Pupils have,worrying.In addition,Playing computer or watching TV improper posture for a long time,It can also cause wide neck/Chest lock papillary muscles/Trapezius muscle and ligament spasm/damage.

　治疗： treatment:

　　只能采用成人方案 Use only adult scheme

　　郑秋坚表示，目前还没有专门针对低龄化颈肩损伤的方案，因此绝大多数儿童患者以成人方案治疗。早期损伤，除了立即停止导致损伤的因素外，给予药物及适当进行热敷、牵引、按摩、运动等物理治疗。

ZhengQiuJian said,There is no specific to DiLingHua neck shoulder injury plan,So the vast majority of children in adult patients with treatment plan.The early damage,In addition to immediately stop the damage factors,Give drugs and proper heat/traction/massage/Sports physical therapy.

　　颈肩损伤如果不及早干预，往下发展就是肌肉和韧带的钙化，椎间盘退化，即成为真正的颈椎病。一旦进展至椎间盘突出，压迫至神经、脊髓，那就只有动手术治疗了。“目前我们也有对低龄的外伤或先天畸形颈椎病患者施行手术，但也只能采用成人方案。”郑秋坚表示，如放入小钢板，最多2年后就要取出来，因为小患者的身体发育进展迅速，“首选还是保守疗法”。

Neck shoulder injury if not early intervention,To development is muscle and ligament calcification,Intervertebral disc degeneration,Namely become true cervical spondylosis.Once the progress to disc herniation,Oppression to nerve/Spinal cord,That is only an operation treatment."At present, we also have to young of trauma or deformity surgery in patients with cervical spondylosis,But also can use adult scheme."ZhengQiuJian said,If put in the small steel plate,After 2 years, most will take,For patients with small physical growth of rapid progress,"Preferred or conservative therapy".

　　而消融手术、非融合手术、小针刀等，往往只能松懈疼痛症状，对钙化有一定治疗作用。

And ablation surgery/Non fusion surgery/Acupotomy, etc,Often can relax pain symptoms,To calcification has certain treatment function.

提醒： remind:

　　玩游戏30分钟歇一下 Play the game 30 minutes a rest

　　一旦被颈肩损伤盯上了，如果不及早就医，3个月至半年就可能发展成慢性疼痛症，有的医院已经将慢性疼痛作为一个专门的病种。而对于颈肩的慢性疼痛患者而言，长期影响之下，可能导致患者颈椎弧形的生理轴线变小、变直，甚至后弓，进而加快椎间盘退变。

Once they are neck and shoulder injury appears,If you don't go to a doctor as soon as possible,3 months to half a year may develop chronic pain syndrome,Some hospitals have chronic pain as a special diseases.For the neck shoulder in chronic pain patients,Under the influence of long-term,May result in patients of cervical vertebra arc physiological axis smaller/straightened,Even after the bow,And then speed up the intervertebral disc degeneration.

　　“另一方面，由颈肩劳损而导致的颈肩肌肉及韧带钙化是不可逆的，更会大大加快椎间盘退化进程。”郑秋坚说。

"On the other hand,The neck shoulder strain in neck shoulder muscle and ligament calcification is irreversible,More will greatly speed up the process of intervertebral disc degeneration."ZhengQiuJian said.

　　因此，除了呼吁颈肩劳损及早就医外，郑秋坚特别提醒为人父母者，从孩子的健康出发，不要让青少年过度沉迷玩电子产品，“游戏再棒，也要每30分钟歇一下”。而在歇息间隙，可以做一些舒缓关节、肌肉的活动，比如颈部健身操、米字操等，甚至两手相握后弯腰，向上伸展、后仰等简单动作，都可适当预防颈肩损伤。(记者何雪华 通讯员张丹娜)

so,In addition to calling for neck shoulder strain as soon as possible the doctor,ZhengQiuJian special remind parenting person,Starting from the child's health,Don't let teenagers too addicted to play electronic products,"The game then stick,Also want to every 30 minutes a rest".And in the rest clearance,Can do some relax joints/Muscle activity,Such as neck setting-up exercise/M word operation, etc,Even his hands after showing bend down,Up extend/Back simple action,Can be appropriate to prevent neck shoulder injury.(Reporter HeXueHua correspondent zhang na)