Schustek S, Jacobs A M
J Foot Surg. 1982 Spring;21(1):16-22.
The onset of autonomic neuropathy can often be insidious and may be associated with somatic neuropathy. Whether the autonomic dysfunction has a primary role or simply serves as a marker for other disease processes remains unclear. There is no doubt, however, that autonomic neuropathy, once present, greatly complicates the diabetic state and the management of the diabetic patient in the perioperative period and also statistically increases the mortality risk. Hopefully the testing of diabetic patients for the presence of autonomic neuropathy will become more prevalent. The heightened awareness will serve to alert the podiatric physician of possible autonomic disease sequelae in the surgical management of such patients.
自主神经病变的起病往往隐匿，且可能与躯体神经病变相关。自主神经功能障碍是起主要作用，还是仅仅作为其他疾病过程的一个标志，目前尚不清楚。然而，毫无疑问的是，一旦出现自主神经病变，糖尿病状态及糖尿病患者围手术期的管理会变得极为复杂，并且在统计学上也会增加死亡风险。希望对糖尿病患者进行自主神经病变检测的情况会变得更加普遍。这种更高的认知度将有助于提醒足病医生，在对这类患者进行手术管理时可能出现自主神经疾病后遗症。
