自主神经反射异常作为一名四肢瘫痪男性粪便管理系统的并发症。
Autonomic dysreflexia as a complication of a fecal management system in a man with tetraplegia.
作者信息
Safaz Ismail, Kesikburun Serdar, Omac Ozlem Koroglu, Tugcu Ilknur, Alaca Ridvan
机构信息
Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, TSK Rehabilitasyon Merkesi, Bilkent, Ankara, Turkey.
出版信息
J Spinal Cord Med. 2010;33(3):266-7. doi: 10.1080/10790268.2010.11689705.
BACKGROUND/OBJECTIVE: To present a case of autonomic dysreflexia caused by the use of a fecal management system in a patient with tetraplegia.
DESIGN
Case report.
SETTING
Military rehabilitation center.
RESULTS
A man with tetraplegia had a fecal management system inserted to divert stool away from his sacral pressure ulcer to reduce contamination and infection risk. Two days later, he developed severe autonomic dysreflexia that improved after removal of the system.
CONCLUSIONS
Autonomic dysreflexia, a life-threatening complication, has not been reported before as a side effect of a fecal management system. These systems should be used with caution in patients with high-level spinal cord injury.
背景/目的：报告一例四肢瘫痪患者因使用粪便管理系统引发自主神经反射异常的病例。
设计
病例报告。
地点
军事康复中心。
结果
一名四肢瘫痪男子插入粪便管理系统，以使粪便从骶部压疮处引流，降低污染和感染风险。两天后，他出现严重的自主神经反射异常，移除该系统后症状改善。
结论
自主神经反射异常是一种危及生命的并发症，此前未被报道为粪便管理系统的副作用。对于高位脊髓损伤患者，应谨慎使用这些系统。
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