High paraplegia

(The definition of high paraplegia in the medical community is still controversial, and there is no clear certainty). Cervical spinal cord injury above neck 5 causes motion and sensation of limbs and trunk to fade or disappear. It is called high paraplegia, and some people think that high paraplegia should be T5 spinal inertial injury above the spinal cord, bilateral lower limb paralysis, and injury segment below the corresponding plane Sensory disorders, dyspnea, dysuria, sexual dysfunction, autonomic dysfunction. Below T5 can be called paraplegia or low paraplegia without breathing difficulties. Transverse cervical inertial injury should be quadriplegia. High paraplegia usually has quadriplegia, and the prognosis is poor. Other aspects are the same as lower limb paraplegia. The spine or vertebrae are fractured. The displaced vertebral body or the bone piece protruding into the spinal canal may compress the spinal cord or horsetail. Injury, injury to the spinal cord below the plane of transection, limb sensation (pain, touch, and temperature) motion, reflexes completely disappeared, bladder, anal sphincter function completely lost, called complete paraplegia, there are some functions called incompleteness Paraplegia. After cervical spinal cord injury, those who have neurological dysfunction in both upper limbs are quadriplegic. Paraplegia is a serious trauma. Without active rehabilitation, patients cannot receive proper care, often die from severe complications or stay in bed for many years, and live a painful life that depends entirely on the help of others. The burden on society. Therefore, in the treatment and nursing process of paraplegic patients, we should first focus on the prevention of complications, take the implementation and improvement of rehabilitation care, and early reconstruction of limb function.

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