Cavigelli A, Dietz V
Schweizerisches Paraplegikerzentrum, Universitätsklinik Balgrist, Zürich.
Schweiz Med Wochenschr. 2000 Jun 3;130(22):851-60.
In-hospital rehabilitation of para-/tetraplegic patients is followed by the family doctor's long-term surveillance supported by annual checkups in the rehabilitation clinic. The family doctor bears a heavy burden of responsibility. Loss of sensation may cover a wide range of complications. Most of these functional disorders are the consequence of reduced physical activity and a disturbed autonomic nervous system. There is a significantly high incidence of pulmonary infection, in particular pneumonia and atelectasis, coronary heart disease, autonomic dysreflexia, urinary tract infections, kidney stones, renal and hepatic insufficiency, gallstones, constipation and ileus, as well as decubitus, osteoporosis and so on. Chronic severe pain and spasm also require optimum therapy, in view of their potential to reduce quality of life and working capacity. This article provides an overview of several relevant problems in internal medicine involving diagnosis, therapy and long-tem surveillance of patients with spinal cord injuries.
截瘫/四肢瘫患者的院内康复之后，由家庭医生进行长期监测，并在康复诊所进行年度检查以提供支持。家庭医生肩负着沉重的责任。感觉丧失可能会引发一系列并发症。这些功能障碍大多是身体活动减少和自主神经系统紊乱的结果。肺部感染，尤其是肺炎和肺不张、冠心病、自主神经反射异常、尿路感染、肾结石、肾和肝功能不全、胆结石、便秘和肠梗阻，以及褥疮、骨质疏松症等的发病率显著较高。鉴于慢性剧痛和痉挛有可能降低生活质量和工作能力，也需要进行最佳治疗。本文概述了脊髓损伤患者在内科诊断、治疗和长期监测方面的几个相关问题。
