Wake up
I found myself unable to move
I thought I was a "ghost press"
Unexpectedly, the problem is this thing that is done every day
Someone seeks medical attention in time
Recover quickly
But there are also people who are delayed because of their illness
This results in total paralysis
Recent
Department of Orthopedics, First Affiliated Hospital of Zhejiang University School of Medicine
A number of patients who were suddenly "paralyzed" were treated
After stripping away the cocoon
Find out they're all for the same reason
Expert reminder
Be sure to be vigilant!
Aunt Lin'an woke up and suddenly stopped moving
"Thank you, you are welcome to Lin'an to play, you must come!" Recently, 63-year-old Aunt Chen (pseudonym) in Lin'an was happily discharged from the Orthopedic Ward of the First Affiliated Hospital of Zhejiang University School of Medicine, accompanied by her family. A few days ago, she suffered a "flying disaster".
Since retirement, Aunt Chen has been at home to do housework, with a small grandson, although she has more than 10 years of high blood pressure, 5 years ago also because of myocardial infarction did coronary stent surgery, but everything is smooth at home, do not need to worry too much Aunt Chen life is still a tasteful.
The other day, Aunt Chen felt that her hands and feet were slightly numb, but she just encountered cooling weather, and she thought it was just caused by cold weather. Who knew that the next morning, Aunt Chen felt that her back was in severe pain, and her legs were unable to exert strength, and her hands had no strength, and the whole person was like paralyzed.
Fortunately, at this time, the daughter wanted to call Aunt Chen for breakfast, and when she found something strange, she quickly called 120 and sent Aunt Chen to the local hospital in Lin'an. After examination, Aunt Chen's lower limbs were almost paralyzed, and the local hospital suggested that she be immediately sent to the provincial large hospital for diagnosis and treatment, and Aunt Chen and her family rushed to the emergency department of the First Hospital of Zhejiang University.
After emergency surgery Auntie can go
The emergency department of the First Hospital of Zhejiang University immediately improved the examinations for Aunt Chen, and at the same time urgently called the orthopedic department to come to the emergency consultation, after magnetic resonance examination, found that Aunt Chen was placed in the posterior spinal cord in the cervical spinal canal, and through asking the medical history, it was learned that Aunt Chen had taken the anticoagulant aspirin for a long time after stent surgery, and considered an extradural hematoma in the cervical spinal canal.
"An epidural hematoma in the spinal canal is a disease in which the exact cause is unknown, with acute attacks of neck or back pain, and at the same time, the hematoma can rapidly enlarge and compress the nerves, resulting in numbness and weakness in the limbs, and even paralysis." Professor Wang Yue, deputy director of the Department of Orthopedics, said, "For this disease, the most critical thing is to diagnose it quickly and operate quickly, otherwise it will lead to permanent paralysis if the compression time is long. ”
After perfecting the preoperative examination, Professor Wang Yue performed emergency surgery for Aunt Chen, carefully removing the hematoma in her spinal canal and relieving the compression of the spinal cord.
After the operation, Aunt Chen's limbs began to regain consciousness, and the next day, Aunt Chen could walk on the ground with the help of her family, and on the fourth day, she could walk independently.
Recently, several people have been recruited
"The incidence of spinal canal epidural hematoma is not high, about one in a million, but most patients have a long history of taking anticoagulants, although the current academic community has no direct conclusion on the epidural hematoma caused by anticoagulants, but according to clinical experience, such patients must pay more attention." Professor Hu Yiguo, director of the Department of Orthopedics, said.
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The cause of the endospinal epidural hematoma is unknown, patients often have a history of cerebral infarction, or have a history of implantation of heart and cerebrovascular stents, postoperative need long-term oral warfarin, clopidogrel, aspirin and other anticoagulant drugs, due to long-term use of anticoagulants will cause disorders in the coagulation mechanism in the body, resulting in spontaneous rupture and bleeding of small blood vessels in the spinal canal, and blood accumulation in the epidural to form an epidural hematoma.
Spinal canal epidural hematomas can occur in the cervical spine or may occur in the thoracic spine, which is less common in the lumbar spine.
In addition, patients with coagulation disorders such as hemophilia and idiopathic purpuric thrombocytopenia may also have an endocondural epidural hematoma due to coagulation dysfunction.
Most patients progress very rapidly, and the hematoma can cause severe neurological dysfunction within hours or days, and the only solution is emergency surgery, if not surgery, it may lead to hemiplegia, numbness or complete paralysis of the spinal cord compression, with the possibility of urinary and urinary disorders.
Recently, the Orthopedic Department of the First Hospital of Zhejiang University has successively diagnosed four or five patients with endospinal epidural hematomas, including a 70-year-old grandfather, who has symptoms of hand numbness, back pain, and leg weakness, but has not attracted attention, and continues to "fight in all directions" on the mahjong table, which eventually leads to complete paralysis and loses the opportunity for recovery, which is really regrettable.
In addition, experts said that severe cervical spondylosis can also lead to numbness and weakness in the limbs, pain in the upper limbs, and even paralysis, but the onset of cervical spondylosis is generally slow and generally not so dangerous.
Experts from the First Hospital of Zhejiang University remind that patients who take anticoagulants for a long time must follow the doctor's instructions to follow the doctor's instructions for regular follow-up and check on time, and must not feel that taking medicine is enough, and do not follow up. At the same time, if the drug takers have symptoms such as hand numbness, back pain, and limb weakness, they must be vigilant, seek medical screening in time, and intervene early.