Scher A T
S Afr Med J. 1978 Feb 11;53(6):208-10.
Autonomic hyperreflexia is a reflex response to visceral distension which occurs only in patients with spinal cord lesions above T6. The marked hypertension, which is an integral part of this reflex, may lead to severe morbidity, or even death. The mechanism whereby interruption of the sympathetic outflow from the spinal cord results in autonomic hyperreflexia is described, as well as the clinical signs and symptoms associated with this condition. The value of autonomic hyperreflexia as a clinical indicator of complications in patients with spinal cord lesions is stressed. The diagnosis and treatment of autonomic hyperreflexia which has occurred as a complication of radiological procedures are discussed.
自主神经反射亢进是对内脏扩张的一种反射反应，仅发生于胸6以上脊髓损伤的患者。显著的高血压是这种反射的一个组成部分，可能导致严重的发病，甚至死亡。文中描述了脊髓交感神经传出中断导致自主神经反射亢进的机制，以及与该病症相关的临床体征和症状。强调了自主神经反射亢进作为脊髓损伤患者并发症临床指标的价值。讨论了作为放射学检查并发症出现的自主神经反射亢进的诊断和治疗。
