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骶上脊髓损伤中的逼尿肌抑制:是由于交感神经过度活跃吗?

Detrusor inhibition in suprasacral spinal cord injuries: is it due to sympathetic overactivity?

作者信息

Mathe J F, Labat J J, Lanoiselee J M, Buzelin J M

出版信息

Paraplegia. 1985 Aug;23(4):201-6. doi: 10.1038/sc.1985.36.

DOI:10.1038/sc.1985.36
PMID:4047710
Abstract

The authors report five patients with detrusor inactivity in suprasacral spinal cord lesions with perineal spasticity. In all of these cases with cervical or high thoracic lesions treatment with an alpha-blocking drug (Phenoxybenzamine) allowed bladder activity to return. These results suggest that the sacral parasympathetic centre is under the inhibitory influence of the sympathetic nervous system.

摘要

作者报告了5例骶上脊髓损伤伴会阴部痉挛且逼尿肌无活动的患者。在所有这些颈椎或高位胸椎损伤的病例中,使用α受体阻滞剂(苯苄胺)治疗可使膀胱恢复活动。这些结果表明,骶副交感神经中枢受交感神经系统的抑制性影响。

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