gvel
description
Transcript of gvel
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A gerincvelı
Anatómia, élettan, kórélettan, tünetegyüttesek
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Szabályok
• Chippault: – C=0
– Th1-4 = 1
– Th5-8 = 2
– Th9-12 = 3
• Kahler-Pick
• Foerster
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Kahler-Pick, Foerster
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1. Fasciculus gracilis (Goll)2. Fasciculus cuneatus (Burdach)3. Tractus spinocerebellaris dorsalis(Flechsig)4. Tractus corticospinalis lateralis5. Tractus spinothalamicus lateralis(Edinger)6. Tractus spinocerebellaris ventralis(Gowers)7. Tractus rubrospinalis8. Tractus spinotectalis9. Tractus corticospinalis anterior10. Tractus olivospinalis11. Tractus spinoolivaris12. Tractus tectospinalis13. Tractus reticulospinalis14. Tractus vestibulospinalis15. Tractus spinothalamicus anterior
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Tünetek
• Motoros - myotoma
• Érzı - dermatoma
• Vegetatív
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Heveny szak
• Shock
• Harántlézió
• Brown-Séquard sy
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• Sérült oldal:– Paresis
– Mélyérzés-zavar
• Ellenoldal:– Hı- és
fájdalom anesztézia
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Krónikus
• Automatizmusok• Retractios reflex• Tömeges reflex• Támaszkodási reflex
• Tetraplégia, paraplégia(petyhüdt vagy spasticus)• Hyperreflexia, clonus, Babinski jel, • Anaesthesia határvonalas• Vegetatív zavarok, felfekvések
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kezelés
• methylprednisolon - 8 órán belül elkezdeni– 30 mg/kg (kb 2g felnıttnek!!!) iv bolus 15 perc alatt,
majd
– 5,4 mg/kg/óra 23 órán át
• stabilizálás: – alapfunkciók
– gerinc
– VIGYÁZZ A GERINC MOZGATÁSÁRA!!!
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Peter PaulRubens
ésAnthony
van Dyck.
MuciusScaevolaPorsenna
elıtt.
1620 SzépmővészetiMúzeum
Budapest
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