雷击后中枢性高肾上腺素能状态。
Central hyperadrenergic state after lightning strike.
机构信息
Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
出版信息
Clin Auton Res. 2013 Aug;23(4):169-73. doi: 10.1007/s10286-013-0197-7. Epub 2013 Jun 13.
OBJECTIVE
To describe and review autonomic complications of lightning strike.
METHODS
Case report and laboratory data including autonomic function tests in a subject who was struck by lightning.
RESULTS
A 24-year-old man was struck by lightning. Following that, he developed dysautonomia, with persistent inappropriate sinus tachycardia and autonomic storms, as well as posttraumatic stress disorder (PTSD) and functional neurologic problems.
INTERPRETATION
The combination of persistent sinus tachycardia and episodic exacerbations associated with hypertension, diaphoresis, and agitation was highly suggestive of a central hyperadrenergic state with superimposed autonomic storms. Whether the additional PTSD and functional neurologic deficits were due to a direct effect of the lightning strike on the central nervous system or a secondary response is open to speculation.
目的
描述并回顾雷击导致的自主神经并发症。
方法
对 1 名被雷击的患者进行病例报告和包括自主功能测试在内的实验室数据回顾。
结果
一名 24 岁男性被雷击。之后，他出现了自主神经紊乱，表现为持续性不适当窦性心动过速和自主神经风暴，以及创伤后应激障碍（PTSD）和功能性神经问题。
解释
持续性窦性心动过速与高血压、出汗和激越相关的阵发性加重相结合，强烈提示存在中枢性高肾上腺素能状态，伴有自主神经风暴。额外的 PTSD 和功能性神经缺损是否是由于闪电直接作用于中枢神经系统或继发反应引起的，这仍存在争议。
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