| 何帆,赵廷宝.颈椎脊髓损伤患者自主神经性反射异常的临床处理[J].脊柱外科杂志,2013,11(6):341-343. |
颈椎脊髓损伤患者自主神经性反射异常的临床处理  点此下载全文 (Fulltext) |
| 何帆 赵廷宝 |
| 31006 浙江, 杭州市第一人民医院骨科;济南军区总医院脊髓修复科 |
| 基金项目：浙江省医药卫生一般研究计划（2013KYB202） |
| DOI：10.3969/j.issn.1672-2957.2013.06.006 |
| 摘要点击次数: 1158 |
| 全文下载次数: 2 |
| 摘要： |
| 目的 探讨颈椎脊髓损伤患者自主神经性反射异常（autonomic dysreflexia，AD）的临床诊治措施。方法 2006年9月～2011年9月，共诊治23例颈椎脊髓损伤后发生自主神经性反射异常的患者，主要措施为去除对张力感受器和痛觉感受器的不良刺激。结果 19例患者在去除不良刺激后1~5 min内症状完全缓解，其余4例患者经Ca2+通道阻滞剂治疗后血压降致正常。结论 对于颈椎脊髓损伤的患者，应注意观察并解除可能导致AD发生的因素；一旦诊断为AD，应尽快消除诱因并对症处理，避免出现并发症。 |
| 关键词：颈椎 脊髓损伤 自主神经系统疾病 |
| Treatment for autonomic dysreflexia after cervical spinal cord injury Fulltext |
| HE Fan ZHAO Ting-bao |
| Department of Orthopaedics, Hangzhou First people's Hospital, Hangzhou 310006, Zhejiang, China |
| Fund Project: |
| Abstract: |
| Objective To explore the treatment for autonomic dysreflexia(AD) after cervical spinal cord injury. Methods From September 2006 to September 2011, 23 patients with cervical spinal cord injury were analyzed, the main therapy method was to remove harmful stimulus. Results After the treatment, 19 patients were completely released in 1-5 min, the rest 4 patients' blood pressure dropped to normal with the using of the calcium channel blockers. Conclusion In cervical spinal cord injury patients, the factors that could induce AD must be observed closely and removed as soon as possible. Once diagnosed as AD, inducement should be eliminated, and symptomatic treatment should be carried out as soon as possible, in order to avoid complication appeared. |
| Keywords:Cervical vertebrae Spinal cord injuries Autonomic nervous system diseases |
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