1 liver patients in the care of spinal cord.docVIP

 PAGE \* MERGEFORMAT 6 1 liver patients in the care of spinal cord [Keywords:] myelopathy, nursing Myelopathy is a serious stage liver disease to the brain caused by spinal cord injury. Normally half of myelopathy caused by portal cirrhosis, viral hepatitis caused by a third line for a rare liver cirrhosis complications [3]. generally believed that liver detoxification may dysfunction, blood ammonia increases resulting from brain metabolism and so on. Moreover, and protein metabolism in the formation and structure similar to sham catecholamine medium interfered with brain stem reticular formation Upstream activation of the system to pass on the normal medium [2]. myelopathy are common in several episodes of hepatic encephalopathy, portal shunt effect, pyramidal tract of spinal cord damage performance. were both lower limbs were spastic paraplegia, increased muscle tone, tendon hyperreflexia, pathological positive reflection, feeling normal [4]. I Division in May 2007 the hospital treated one case of hepatic myelopathy patients, symptomatic care and rehabilitation functions given to the guidance received good results . A case report Patients, male, 32 years old. The history of liver disease for many years .3 years ago, repeated abdominal distension, liver pain, fatigue, anorexia, weight loss, diarrhea, skin itching, fever, lower extremity edema, oliguria, bleeding gums, hematemesis, black they and other symptoms. The B-, MRI, liver function and other tests, the diagnosis of “cirrhosis of the liver, splenomegaly, gastric esophageal variceal” in March 2006 the line “+ splenectomy and splenorenal shunt devascularization . “recurrent postoperative hepatic encephalopathy, ammonia and other treatment to reduce early .7 improved lower extremity weakness, double knee stiff, step away from the smaller, dorsal can not tilt, walking with crutches, is poorly balanced. The MRI and other tests, a diagnosis of “myelopathy (portacaval shunt.” 2 Care 2.1 Preven