Nursing on the cervical spine tuberculosis.doc

 PAGE \* MERGEFORMAT 7 Nursing on the cervical spine tuberculosis Of: Meng Shu-Hua Shao Ying Guo Yaqiu [Keywords:] cervical tuberculosis patient care First, the nursing assessment (A) clinical manifestations The early stage of neck cervical tuberculosis is limited, it may feel stiff neck, pain in the neck after the result of muscle spasm. Often occurs in patients with torticollis, head to the affected side, in order to Satisfy the affected side of the mandibular support the head, or the whole body rotation or bending to bring the activities to force the head position. Retropharyngeal abscess is the most common complication of cervical tuberculosis. Large retropharyngeal abscess can cause local compression symptoms, such as sleep, snoring or difficulty swallowing or even breathing difficulties. Pharyngeal pharyngeal abscess can be worn forward Ministry of the pus, sequestra debris and in the casein-like substance from the mouth spit or swallow. cervical spine tuberculosis pus extended downward along the prevertebral fascia first thoracic vertebra, or both sides of the neck to the chest locks milk flow injection sudden muscle behind the sternocleidomastoid muscle abscess formation. When lesions involving the sympathetic ganglia, may appear signs of ipsilateral mydriasis. Occipital nerve involvement, pain to the head and the mastoid elution. When the disease spread into the spinal canal to the rear, the may be complicated by neurological dysfunction, or paraplegia. Atlantoaxial dislocation or subluxation, because of quadriplegia or paraplegia caused by spinal cord compression. (B) of the auxiliary examination 1. Imaging studies (1) X-ray examination: the early curve of the neck reduces the physiological lordosis, intervertebral space narrowing, the future may be lost. Lateral cervical prevertebral soft tissue shadow can be seen clearly widened. Shadow widened mediastinum, tracheal pressure or visible , shift. (2) C