What are the three major complications of high paraplegia?

1.Urinary tract infections.

Prevention: Strict aseptic technique when inserting a urinary catheter, and the catheter should be changed once a week. Flush the bladder 1 2 times a day, with normal saline, 3% boric acid solution or nitrofuracillin.

The catheter is opened every 4 hours to train the formation of an automatic bladder to avoid long-term empty bladder contractures that reduce bladder capacity. Encourage patients to drink more than 3,000 ml of water per day. The catheter can be removed when the amount of residual urine in the bladder is less than 100 ml.

Antimicrobials are used in the presence of infection**. At present, it is believed that the best measure to prevent urinary tract infection and manage urinary retention is to use intermittent catheterization every 4 hours without an indwelling catheter.

2.Joint stiffness and deformity.

The prevention and treatment method is to passively move and massage the limbs every day, put the limb joints in a functional position, and use a guard to support the bedding to prevent the toes from compressing the toes and causing foot drop. Special care and drugs such as vitamin A, C E, solid teeth and strong bone capsules, calcium tablets and other means can also be used to prevent the occurrence of various comorbidities, and some first-class clinical treatment can also be carried out to reduce symptoms and promote functional recovery.

3.Bedsore. Prevention method:

Keep the mattress flat and soft, avoid urine and fecal contamination, and clean it regularly to keep it dry. Turn over once every two hours, day and night. to the bony bulge.

For example, the sacrum, greater tuberosity, heel, iliac crest, etc., are protected with soft or air cushions. Topical daily scrub with 25% 50% alcohol and talcum powder massage. If bedsores have occurred, physiotherapy, ultraviolet radiation, necrotic tissue should be cut off, and bedsore drugs that reduce saprophytic muscles can be used.

When the inflammation is controlled and the granulation is fresh, the wound is closed with a transfer skin office.

4.Respiratory tract infections.

The prevention and treatment method is to encourage turning over, coughing, pressing the skin to assist in coughing up sputum, and if necessary, sucking it out with a suction device. Inhale vapor 2 3 times a day. If the secretion is thick and heavy, and it is unable to be discharged, a tracheotomy should be performed if necessary.

Nerve repair.

The most common complication of paraplegia is infection, which can lead to lung infections and urinary tract infections. Infections caused by reduced activity or reduced turning over and patting the back, as well as paralyzed limbs that can cause pressure and formation of pressure sores, are also symptoms of infection. There are also some people who are unable to move their lower limbs, resulting in deep vein thrombosis of the lower limbs, which can also lead to serious complications such as pulmonary embolism.

In this case, deep vein thrombosis can be avoided by means of compression stockings and lower limb elevation, and some symptoms may occur. Complications such as local nutritional disorders, local infections, and joint abnormalities occur due to paralysis or disappearance of sensory impairment.

Clinical manifestations of sudden dyspnea of high paraplegia Dyspnea is a clinical manifestation, what is the cause, dyspnea caused by high paraplegia is a spinal cord injury above the neck 5, if it is below the neck 5, it is a secondary spinal cord injury, and if dyspnea occurs after a stage of onset, it is a delayed spinal cord injury. Regardless of the type of spinal cord injury, the causative element must be identified to restore the nerve in order to restore the diaphragm, and it is necessary to cut the trachea to prevent ventricular death. Because the condition is unknown, you need help to provide medical history, medical records, and magnetic resonance** for your guidance.

During the spinal shock period, the muscle strength and muscle tone of the trunk and limbs below the level of injury decreased significantly, and the muscle tone gradually increased during the recovery period, and the tendon reflexes gradually changed from loss to hyperactivity, but the muscle groups innervated by motor neurons under the injury segment could be manifested as atrophy, weakness, hypotonia, and tendon reflexes decreased or disappeared.

Sensory disturbances. Various sensations below the level of injury are lost to varying degrees, and recovery occurs to varying degrees as the disease progresses.

Autonomic dysfunction.

The most common is bladder and rectal dysfunction, with different types of neurogenic bladders present at different stages of spinal cord injury. High fever, high blood pressure, anhidrosis, and sexual dysfunction may also occur.

Other. Such as chronic physical pain, overelectric inductance, or other syndicated** sensational abnormalities, may be accompanied by mood changes.

High paraplegia, as the name suggests, refers to a transverse lesion that occurs at a higher level of the spinal cord.

In medicine, paraplegia caused by transverse lesions of the spinal cord above the second thoracic vertebra is generally called high paraplegia, and paraplegia caused by spinal cord injury below the third thoracic vertebra is called lower body paraplegia.

High paraplegia generally causes quadriplegia, and the prognosis is often poor, and other aspects are the same as paraplegia of the lower limbs.

Traditional Chinese medicine acupuncture. The most important thing is functional exercises.

Prevent pressure sores from occurring.

Turn over frequently; frequent massage; Good nutrition; Dry mattress content; If you have bedsores, you should change the dressing frequently; will get better quickly.

It is recommended to pay attention to the nutrition and hygiene of the diet, and do not sell or eat food that does not meet the hygiene requirements.

Prevention of pressure sores: turn over every 2-3 hours, cushion air cushion or sponge circle at the bony prominence, massage the bony prominence every time you turn over, once there is **dark redness, reduced elasticity or blisters, it should be treated according to the bedsore. Dealing with high heat:

Environmental cooling and physical cooling should be the main focus, such as lowering room temperature, ice water scrub bath, ice compress, alcohol scrub bath, etc.

High paraplegia, so that the care must be taken care of, if it is not his daily life, and his psychological care is very important.

There are three major comorbidities of paraplegia that can be life-threatening: urinary, lung, and pressure sores. The original calendar that led to the occurrence of comorbidities was inappropriate. Spinal cord injury leads to paraplegia or incomplete paraplegia complicated by loss of limb movement, fecal incontinence, after the onset of the disease, Western medicine for spinal cord injury ** surgical decompression can only restore the diameter of the spinal canal to avoid the damaged spinal cord again and can not restore spinal cord function, so most patients will be incapacitated ** spinal cord injury under the guidance of the patient with vitamins, potassium cobalamin mouse nerve growth factor and other comfort** and delayed for a period of two years, and finally led to permanent paralysis or paraplegia, no information can only provide you with theoretical ** Scheme 1: Use traditional Chinese medicine to enhance and improve spinal cord blood circulation, so that the damaged nerves can get sufficient blood supply.

2. The combination of traditional Chinese and Western medicine is conducive to nerve regeneration and repair of nerve scars through nutrition, nerve softening. 3. Chinese and Western composite regenerative nerve technology** excites and activates the nerves that are paralyzed and shocked after injury, so that the damaged nerves can be regenerated and repaired in order to obtain the best recovery of movement, stool, sensation and other functions. The exercise prescription should be professionally designed according to the condition.

Suggest: **Improper delay** The affected nerve will be secondary to avascular necrosis, and there is no hope of recovery from the disease, so you need to help send magnetic resonance before and after surgery** for your guidance.