Spinal cord disease caused by electric shock

　　1Etiology

　　Spinal cord electric shock can occur after contacting 75 to 75,000 volts. When an electric shock occurs, the heart can suddenly stop, causing the circulation of blood throughout the body to pause and causing systemic hypoxia. If death is narrowly avoided at the time, most of them will leave widespread brain and spinal cord symptoms. In addition, when an electric shock occurs, if the current passes from one hand to the other, it can also cause damage to that part due to the current passing through the cervical spinal cord.

　　2Pathogenesis

　　Spinal cord damage can be caused by direct injury to neurons, or by thrombosis of the blood vessels supplying the spinal cord. On the pathological sections of the spinal cord, there are changes such as degenerative changes of nerve bundles, destruction of anterior horn cells, and increased gliocytes.

　　Other manifestations of electric shock injury, such as skin burns, cardiac arrest, convulsions, disturbance of consciousness. Bed sores and cystitis caused by long-term bed rest are also prone to occur. Massive bleeding in the upper gastrointestinal tract often manifests as hematemesis and melena. If the amount of bleeding is not much, there may only be melena. Massive bleeding can lead to shock and induce ascites. Although the injury is localized, due to external communication, the risk of infection is greater.

　　Injuries and dysfunction of the skin and other tissues and organs caused by the passage of electricity through the human body. The cause of death from electric shock injury is due to the high inhibition of the brain (the respiratory center of the medulla oblongata) caused by the current, which can lead to myocardial depression and ventricular fibrillation. The injury after electric shock is related to the voltage, current, and the contact of the conductor with the body surface. When the voltage is high, the current is strong, the resistance is small, but the body surface is moist, it is easy to cause death; if the current only enters the ground from one limb or the body surface, or the body surface is dry and the resistance is large, it may cause burns but may not be fatal.

　　Prognosis:

　　The course of the disease will not develop, but neurons severely damaged by severe electric shock are also difficult to recover function.

　　1, Cerebrospinal fluid examination shows that the spinal canal is unobstructed, the pressure is normal, the protein is normal or slightly increased, the cell count is slightly increased or normal, and the chloride is normal.

　　2, Other blood tests include liver function, kidney function, blood glucose, routine blood sedimentation examination; rheumatoid factor series, immunoglobulin electrophoresis, and other serological examinations related to autoimmune diseases have differential diagnostic significance.

　　3, Electromyography and nerve electrophysiological examination have auxiliary diagnostic significance.

　　4, Spinal cord CT, MRI examination has differential diagnostic value.

　　First, dietary therapy for spinal cord disease caused by electric shock injury(The following information is for reference only, detailed information needs to be consulted with a doctor)

　　1, Formula 1:

　　〖Composition〗Appropriate amounts of sweet potato leaves, plantain herb, and rice wine.

　　〖Usage〗Wash the first two ingredients and dry them to make fine powder, mix them with rice wine, apply them to the affected area, and apply them several times a day for 7 to 10 days.

　　〖Indications〗Scalds.

　　2, Formula 2:

　　〖Composition〗Egg yolk, alcohol, and honey.

　　〖Usage〗Mix it into a paste and apply it to the affected area.

　　〖Indications〗Burns.

　　3, Formula 3:

　　〖Composition〗1 egg, 15 milliliters of alcohol.

　　〖Usage〗Mix the egg white with alcohol and apply it to the affected area. Apply 3 to 4 times a day.

　　〖Indications〗Scalds and burns.

　　4, Formula 4:

　　〖Composition〗Alcohol.

　　〖Usage〗Soak the wound or cover the wound surface with toilet paper soaked in alcohol.

　　〖Indications〗Small area scalds with pain-relieving and healing effects.

　　5, Formula 5:

　　〖Composition〗5 grams of tea leaves.

　　〖Usage〗Boil the water into a concentrated juice, cool it quickly, soak the wound or spray it on the wound surface.

　　〖Indications〗Burns and scalds.

　　〖Description〗This formula can relieve pain and prevent the exudation of tissue fluid, promote wound scab formation.

　　6, Formula 6:

　　〖Composition〗Waste tea dregs and tea oil.

　　〖Usage〗Dry the waste tea dregs and slightly roast them, grind them into fine powder, mix them with an appropriate amount of tea oil to make a thin paste, and apply it to the affected area.

　　〖Indications〗Scalds and burns.

　　〖Description〗This formula has the effect of reducing swelling and relieving pain.

　　7, Formula 7:

　　〖Composition〗Appropriate amount of honey.

　　〖Usage〗Apply to the affected area.

　　〖Indications〗Scalds and burns.

　　Second, what is good for the spinal cord disease caused by electric shock injury:

　　1, Within 72 hours, due to the loss of a large amount of body fluids, the patient has a marked thirst. At this time, the amount of water intake should be restricted to prevent excessive drinking from causing gastric dilation and affecting gastric function. If the patient has a feeling of hunger and appetite, give them a small amount of congee or bean juice, which can meet the patient's dietary needs, neutralize stomach acid, and regulate the patient's mood through diet. Patients with suspected gastrointestinal bleeding, uncorrected shock, or severe gastrointestinal reactions should be prohibited from eating and drinking.

　　2, Patients with electric shock injuries require nutritional dietary supplements to replenish the great consumption of the whole body. However, due to trauma, pain, and the resulting psychological burden, burn patients often have poor appetite. When the normal function of the patient's gastrointestinal tract is confirmed, encourage them to eat more high-protein, high-vitamin, easy-to-digest, and low-irritant foods, and more fruits and vegetable juices.

　　Three, for different stages, different dietary plans can also be chosen:

　　1. Early stage of injury: because the patient's gastrointestinal function is not good, easy to digest, low residue food should be eaten. Such as thick rice porridge, protein water, glucose water, watermelon water, mung bean soup, sour soup, can also drink ice cream, etc. Avoid foods that cause bloating and irritation.

　　2. Infection period: provide high-protein, high-vitamin diet. Such as chicken soup, meat soup, liver paste, meat paste, steamed eggs, steamed fruits, etc.

　　3. Recovery period: supplement sufficient protein and carbohydrates. Have snacks between meals; have a night snack in the evening. Eat more fruits, eggs, meats, sugars, etc.

　　Four, what foods should be avoided for spinal cord diseases caused by electric shock:

　　1. Avoid stimulants such as coffee.

　　2. Avoid spicy and warm foods such as alcohol, chili, dried ginger, pepper, cassia bark, etc.

　　3. Avoid smoking and drinking.

　　4. Avoid allergenic foods such as roosters, shrimps, crabs, etc., as these foods are not conducive to the recovery of the disease.

　　5. Avoid eating vegetables such as leeks, scallions, celery, spinach, bamboo shoots, tangerines, cherries, lychees, mutton, pork head meat, chili, chili oil, mustard, fennel, onions, strong tea, etc.

　　Prevention:

　　1. Pay attention to safety and standard electrical use to prevent electric shock injuries.

　　2. Early treatment of electric shock patients, early use of vitamin B complex and neurotrophic drugs, which have a certain effect on improving the function of damaged neurons.

　　3. The most important thing is to immediately remove the injured person from the power source and immediately cut off the power. Use a dry wooden stick or other insulating material to disconnect the power source, never pull or touch the electric shock victim with your hands, and do not forget your own safety due to the urgency of saving lives.

　　4. After disconnecting the power source, quickly check the patient. If breathing and heartbeat stop, immediately perform artificial respiration and external cardiac massage.

　　5. Use respiratory中枢 stimulating drugs, needle the人中 and 十宣 points. Do not use cardiotonics before the heartbeat stops.

　　First Aid Measures:Immediately disconnect the power supply, or use a non-conductive object to disconnect the power source; for those with sudden cessation of breathing and heartbeat, perform cardiopulmonary resuscitation; after resuscitation, pay attention to electrocardiographic monitoring.