Dunn K L
J Cardiovasc Nurs. 1991 Jul;5(4):57-64. doi: 10.1097/00005082-199107000-00007.
Autonomic dysreflexia is an emergency condition resulting in sudden severe hypertension that can occur in spinal cord injury (SCI) patients above the T-5-6 level. This hypertension has its proximate cause in neurologic, not cardiovascular, mechanisms. Knowledge about pathophysiology, possible consequences, and signs and symptoms will assist the nurse in identifying this syndrome, locating and removing causes, controlling symptoms, and preventing morbidity or mortality. A case study is used to illustrate a typical autonomic dysreflexia episode in a hospitalized patient at risk. Prevention of autonomic dysreflexia and patient and professional education are also addressed.
自主神经反射异常是一种紧急情况，可导致突然的严重高血压，发生于胸5-6水平以上的脊髓损伤（SCI）患者。这种高血压的直接原因在于神经机制，而非心血管机制。了解其病理生理学、可能的后果以及体征和症状，将有助于护士识别该综合征、找出并消除病因、控制症状以及预防发病或死亡。本案例研究用于说明一名住院高危患者典型的自主神经反射异常发作情况。还讨论了自主神经反射异常的预防以及患者和专业人员的教育问题。
