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 高等继续教育 / 康复护理学

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患者,男,29岁,农民,已婚。在建筑工地不慎坠楼3小时急诊入院。查体:体温36.8℃,脉搏108次/分,呼吸20次/分,血压120/80mmHg。患者意识清,语言流利,表情痛苦,呻吟。双上肢活动自如,感觉正常,双下肢无主动运动,肌力0级,肌张力消失,感觉缺失,健反射消失,膀胱充盈,腰椎有压痛,脊髓MRI示:第11~12胸髓损伤。经治疗,患者住院35天后,病情平稳,双侧腹股沟处痛、触觉正常,以下感觉关键点痛、触觉均障碍,不能自行排尿,有留置尿管;双下肢髂腰肌肌力1级,余0级,为制订下一步的康复护理计划。请分析:(1)该患者有哪些功能障碍?这些功能障碍分别要是用什么量表进行评定?(2)该患者的功能障碍平面在哪?运动、感觉功能评分各多少分?(3)该患者急性期主要康复护理措施有哪些?(4)应如何对该患者及家属进行健康教育?

(1)该患者有哪些功能障碍?这些功能障碍分别要是用什么量表进行评定?

(2)该患者的功能障碍平面在哪?运动、感觉功能评分各多少分?

(3)该患者急性期主要康复护理措施有哪些?

(4)应如何对该患者及家属进行健康教育?

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