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原发性急性多发性神经根炎中的体位性血压变化(作者译)

[Postural blood pressure variations in primary acute polyradiculitis (author's transl)].

作者信息

Patte C, Raphael J C, Salmeron M, Goester C

出版信息

Ann Med Interne (Paris). 1980;131(8):494-8.

PMID:7224459
Abstract

We have explored the baroreceptor reflex on nineteen patients free of all cardiovascular diseases having contracted acute primary polyradiculitis. The tilt test (at 30 degrees from the horizontal line) demonstrates that, at the acute point of the disease, there is a dysregulation of the arterial pressure characterised by an orthostatic hypotension with a lack of normal increase of the peripheric arterial resistances. Once the motor activity restituted, this dysregulation disappears without sequelae. The clinical and pharmacological tests prove a failure in the baroreceptor arc and shows that sympathetic and parasympathetic pathways to the heart and vessels are functionally normal. Thus, this study localizes the defect on the afferent pathways conducting the local information perceived on the baroreceptors.

摘要

我们对19例患急性原发性多神经根炎且无任何心血管疾病的患者进行了压力感受器反射研究。倾斜试验(与水平线呈30度)表明,在疾病急性期,动脉压调节异常,表现为体位性低血压,外周动脉阻力未正常增加。一旦运动功能恢复,这种调节异常消失且无后遗症。临床和药理学试验证明压力感受器弧存在功能障碍,表明支配心脏和血管的交感神经和副交感神经通路功能正常。因此,本研究将缺陷定位于传导压力感受器所感知局部信息的传入通路上。

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