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高位脊髓损伤患者膀胱镜检查期间的自主神经反射亢进

Autonomic hyperreflexia during cystoscopy in patients with high spinal cord injuries.

作者信息

Snow J C, Sideropoulos H P, Kripke B J, Freed M M, Shah N K, Schlesinger R M

出版信息

Paraplegia. 1978 Feb;15(4):327-32. doi: 10.1038/sc.1977.49.

DOI:10.1038/sc.1977.49
PMID:625432
Abstract

Cystoscopic procedures were performed on 102 patients with histories of traumatic spinal cord lesion; 57 patients had sensorimotor levels above T7, and the remaining 45 patients had levels below T7. In 40 of the 57 patients (70 per cent) with levels above T7, signs and symptoms of autonomic hyperreflexia were seen during bladder distension and cystoscopy; the remaining 17 of these patients (30 per cent) did not have this response. No autonomic hyperreflexia was seen during cystoscopy in any of the 45 patients with sensorimotor levels below T7.

摘要

对102例有创伤性脊髓损伤病史的患者进行了膀胱镜检查;57例患者的感觉运动平面在T7以上,其余45例患者的感觉运动平面在T7以下。在57例感觉运动平面在T7以上的患者中,有40例(70%)在膀胱扩张和膀胱镜检查期间出现了自主神经反射亢进的体征和症状;这些患者中的其余17例(30%)没有这种反应。在45例感觉运动平面在T7以下的患者中,膀胱镜检查期间均未出现自主神经反射亢进。

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