University of California San Francisco School of Medicine, San Francisco, California, USA.
J Palliat Med. 2011 Dec;14(12):1355-7. doi: 10.1089/jpm.2010.0444. Epub 2011 Jun 1.
There are many people living in a permanent vegetative state in the United States. We report the first case of a patient in permanent vegetative state (PVS) who developed paroxysmal sympathetic hyperactivity (sympathetic storm) 8 months after the hypoxic brain injury that lead to PVS.
Paroxysmal sympathetic hyperactivity is a relatively common complication early in the course of traumatic brain injury. Recognition of the clinical presentation of this syndrome is important to palliative and hospice care providers who may be caring for patients with PVS. The treatment of sympathic hyperactivity to reduce potential physical suffering includes medications targeted to the sympathetic nervous system.
在美国，有许多人处于永久性植物人状态。我们报告了首例患者在导致永久性植物人状态的缺氧性脑损伤 8 个月后出现阵发性交感神经过度兴奋（交感神经风暴）。
阵发性交感神经过度兴奋是创伤性脑损伤早期较为常见的并发症。这种综合征的临床表现对姑息治疗和临终关怀提供者非常重要，因为他们可能正在照顾处于永久性植物人状态的患者。治疗交感神经过度兴奋以减轻潜在的身体痛苦包括针对交感神经系统的药物。
