《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (03): 261-262.

• 综述 • 上一篇    下一篇

自主神经反射异常

卫波1,2 综述; 李建军 审校   

  1. 1.首都医科大学康复医学院,北京市 100068;2.中国康复研究中心北京博爱医院脊柱脊髓外科,北京市 100068
  • 收稿日期:2006-09-05 出版日期:2007-03-01 发布日期:2007-03-01

Autonomic Dysreflexia (review)

WEI Bo, LI Jian-jun   

  1. Faculty of Rehabilitation, Capital Medical University, Beijing 100068,China
  • Received:2006-09-05 Published:2007-03-01 Online:2007-03-01

PDF (PC)

摘要： 自主神经反射异常(AD)是一种交感神经反应异常的状态,通常发生于胸6及以上的脊髓损伤患者,由交感神经系统对有害刺激的过度反应而产生。因该症状可产生致命并发症,如癫痫、呼吸暂停、心肌梗死,颅内高压和脑出血,故AD的诊治显得极为重要。本文通过复习文献,主要就AD的发病率、发病机制、诱发因素、临床表现和治疗进行简要叙述。

关键词: 自主神经反射异常, 脊髓损伤, 机制, 治疗, 综述

Abstract: Autonomic dysreflexia (AD) is a condition of abnormal sympathetic response,which generally occurs in patients with the spinal cord injury (SCI) at levels of T6 and above.AD usually occurs owing to the excessive reaction of the sympathetic nervous system to the adverse stimulus.Since AD can result in fatal complications,such as epilepsy,apnea,heart infarction,acute intracranial hypertension and cerebral hemorrhage,the diagnosis and treatment of AD is very important.This article simply introduces the morbidity,pathogenesis,causative factor,clinical manifestation and treatment of AD by reviewing recent literatures.

Key words: autonomic dysreflexia (AD), spinal cord injury (SCI), pathogenesis, treatment, review