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截肢者和脊髓损伤患者的直立性低血压

Orthostatic hypotension in amputees and subjects with spinal cord injuries.

作者信息

Shoenfeld Y, Shapiro Y, Ohry A, Levy Y, Udassin R, Drory Y, Rozin R, Sohar E

出版信息

Arch Phys Med Rehabil. 1978 Mar;59(3):138-41.

PMID:646599
Abstract

Orthostatic examinations were performed with a tilt table on 64 male volunteers, of whom 21 had sustained amputation of one or both lower limbs and 23 were paraplegic due to spinal cord injuries (SCI), with 20 healthy subjects as controls. Following tilting, signs and symptoms of fainting appeared in five of the SCI subjects, four of whom had spinal injuries above the level of D5. These phenomena appeared in only two of the controls and in none of the amputees. The mean systolic and diastolic blood pressures of the amputees at rest and standing were higher than those recorded in the other two groups. The mean pulse pressures were lower in the amputees than in the other two groups. The changes in the systolic, diastolic, and pulse pressures were more profound in those subjects with high spinal cord injuries than in subjects with lower cord injuries. ECG changes and fainting were more frequent among the SCI subjects than in the other two groups.

摘要

使用倾斜台对64名男性志愿者进行直立位检查,其中21人一侧或双侧下肢截肢,23人因脊髓损伤(SCI)而截瘫,20名健康受试者作为对照。倾斜后,5名SCI受试者出现昏厥的体征和症状,其中4人脊髓损伤在D5水平以上。这些现象仅在2名对照受试者中出现,截肢者中未出现。截肢者静息和站立时的平均收缩压和舒张压高于其他两组记录的值。截肢者的平均脉压低于其他两组。脊髓损伤高位的受试者收缩压、舒张压和脉压的变化比脊髓损伤低位的受试者更显著。SCI受试者中心电图变化和昏厥比其他两组更频繁。

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