Krisa Laura, Vogel Lawrence C, Wecht Jill M
1Department of Physical Therapy, Thomas Jefferson University, Philadelphia, PA 19107 USA.
2Department of Research, Shriners Hospitals for Children Philadelphia, Philadelphia, PA 19140 USA.
Spinal Cord Ser Cases. 2017 Dec 12;3:17095. doi: 10.1038/s41394-017-0034-7. eCollection 2017.
Due the impact of maturation on cardiovascular hemodynamics the degree of cardiovascular dysfunction, attributable to spinal cord injury (SCI), in the pediatric and adolescent population remains unclear. While few studies have begun to assess this, there is still a void in the literature regarding the prevalence of cardiovascular dysfunction and how best to identify and treat it in this population.
The purpose of this case series is to present the cardiovascular profile of three adolescent patients with chronic SCI, ages 14-16, following 2 or 3 days of 24-h Ambulatory Blood Pressure Monitoring (ABPM).
We found that there are variations across the different cases in most cardiovascular hemodynamic categories and a clarification of the International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) may be needed to accurately identify the remaining autonomic cardiovascular function in the adolescent SCI population.
由于成熟对心血管血流动力学的影响，脊髓损伤（SCI）所致的小儿及青少年人群心血管功能障碍的程度仍不明确。虽然已有少数研究开始对此进行评估，但关于该人群心血管功能障碍的患病率以及如何最好地识别和治疗这一问题，文献中仍存在空白。
本病例系列的目的是呈现3例年龄在14 - 16岁的慢性脊髓损伤青少年患者在进行24小时动态血压监测（ABPM）2或3天后的心血管状况。
我们发现，在大多数心血管血流动力学类别中，不同病例存在差异，可能需要对脊髓损伤后记录残余自主神经功能的国际标准（ISAFSCI）进行明确，以准确识别青少年脊髓损伤人群中残余的自主神经心血管功能。
