Curtin Catherine M, Gater David R, Chung Kevin C
Robert Wood Johnson Clinical Scholars Program, The University of Michigan Medical Center, 6312 Medical Science Building 1, 1150 W. Medical Center Drive, Ann Arbor, MI 48109-0604, USA.
Ann Plast Surg. 2003 Sep;51(3):325-9. doi: 10.1097/01.SAP.0000063749.96959.CF.
Plastic surgeons are integral to the management team for patients with spinal cord injuries, with responsibilities including pressure sore management and upper extremity reconstruction. Injury to the spinal cord profoundly disrupts the body's ability to maintain homeostasis. In particular, the autonomic system can become unregulated, resulting in a massive sympathetic discharge called autonomic dysreflexia. Autonomic dysreflexia occurs in the majority of patients with injuries above the sixth thoracic vertebra and causes sudden, severe hypertension. If left untreated, autonomic dysreflexia can result in stroke or death. Because this syndrome causes morbidity and mortality, it is crucial for plastic surgeons to be able to recognize and treat autonomic dysreflexia. This article reviews the etiology, symptoms, and treatment of this syndrome.
整形外科医生是脊髓损伤患者管理团队中不可或缺的一员，其职责包括压疮管理和上肢重建。脊髓损伤会严重破坏身体维持内环境稳定的能力。特别是，自主神经系统可能会失去调节，导致一种称为自主神经反射异常的大量交感神经放电。大多数胸6以上损伤的患者会发生自主神经反射异常，并导致突然、严重的高血压。如果不进行治疗，自主神经反射异常可能导致中风或死亡。由于这种综合征会导致发病和死亡，整形外科医生能够识别和治疗自主神经反射异常至关重要。本文综述了该综合征的病因、症状和治疗方法。
