McGuire T J, Kumar V N
Postgrad Med. 1986 Aug;80(2):81-4, 89. doi: 10.1080/00325481.1986.11699484.
Autonomic dysreflexia is a potentially fatal condition occurring in quadriplegics and paraplegics whose spinal cord lesion lies above the greater splanchnic outflow. Prompt recognition of common and less common clinical findings and a search for the causative stimulus are essential. Bladder distention and fecal impaction are the two most likely causes. Should it persist after removal of the stimulus, hypertension requires aggressive drug therapy to control massive sympathetic outflow.
自主神经反射异常是一种潜在致命的病症，发生于脊髓损伤位于大内脏神经传出支以上水平的四肢瘫痪和截瘫患者。迅速识别常见和不常见的临床表现并寻找致病刺激因素至关重要。膀胱膨胀和粪便嵌塞是最可能的两个原因。如果在去除刺激因素后仍持续存在，高血压需要积极的药物治疗以控制大量的交感神经输出。
