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The Pattent With High Tetraplegia C1 to C4

Patients with complete C1-C3 require an external breathing device. as their diaphragm is either paralyzed or only partially innervated (C3). Most persons with C4 tetraplegia require assistance with ventilation during acute care but as the diaphragm strengthens, they are able to breath independently. The most common device for assisted breathing is the ventilator a pneumatic electric machine that forces room air into the lungs. Expiration is passive. This device a attached via plastic tubes directly to a hole in the trachea.

People with complete high tetraplegia are paralyzed from the neck down. These patients require a highly specialized team to stabilize them medically and to prevent further complications. such as respiratory infections and pressures. The occupational therapist who works with this population must be comfortable with nursing procedures. These tasks include suctioning(removing secretions from the trachea). manually ventilating the patient with a manual resuscitator(Ambu-bag) and proficiently manual a ventilator (Nead & Hughes. 1997). The rehabilitation team must also be well coordinated. providing the patient and family with care while have a myriad of issues to deal with in many domains of their life. It may be surprising to realize that despite seemingly insurmountable obstacles to success. many patient with such lesions live healthy and meaningful lives(Whieneck et al., 1989)

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  • 1 decade ago
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    Pattent和對C4的高Tetraplegia C1

    有完全C1-C3的患者需要一個外在呼吸的設備。 他們的膜片被痲痺或部分地只被受神經支配(C3)。 有C4 tetraplegia的多数人需要與透氣的協助在深刻關心期間,但是,當膜片加強,他們獨立地能對呼吸。 協助的呼吸的最共同的設備是那一個氣動力學的電的機器強迫室空氣入肺的通風設備。 失效是被動的。 通过塑料管附有的設備直接地在氣管的一個孔。

    有完全高tetraplegia的人们從脖子被痲痺下來。 這些患者要求一個非常專業的隊醫療上穩定他們和防止进一步複雜化。 例如呼吸傳染和壓力。 与這人口一起使用的职业临床医疗师一定满意對護理做法。 這些任務包括suctioning (去除分泌物從氣管)。 手動地通風有一個手工使復活的人(Ambu袋子)和熟練指南的患者通風設備(Nead &休斯。 1997)。 必须很好也協調修復隊。 小心提供患者和家庭,當有应付的无数問題在他們的生活时許多領域。 它也許是驚奇體會那儘管表面上不可逾越的障礙到成功。 許多有這样損害的患者居住健康和意味深長的生活(等Whieneck, 1989)

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