Chua K S, Kong K H, Tan E S
Department of Rehabilitation Medicine, Tan Tock Seng Hospital.
Ann Acad Med Singap. 1995 May;24(3):470-2.
Hypertension in a patient with acute spinal cord injury is commonly caused by autonomic dysreflexia, which is a syndrome of paroxysmal hypertension associated with headaches, relative bradycardia and vasomotor instability secondary to sympathetic overactivity. Life-threatening complications such as seizures and intracerebral haemorrhage are largely preventable. We report both acute and chronic forms of autonomic dysreflexia due to underlying urinary and faecal impaction in a 33-year-old female with traumatic C4 quadriplegia. She was successfully managed with a combination of physical and pharmacological measures including calcium channel and sympathetic blockers.
急性脊髓损伤患者的高血压通常由自主神经反射异常引起，这是一种阵发性高血压综合征，伴有头痛、相对心动过缓和继发于交感神经过度活跃的血管舒缩不稳定。癫痫发作和脑出血等危及生命的并发症在很大程度上是可以预防的。我们报告了一名33岁创伤性C4四肢瘫痪女性因潜在的尿路和粪便嵌塞导致的急性和慢性自主神经反射异常。通过包括钙通道阻滞剂和交感神经阻滞剂在内的物理和药物措施联合治疗，她成功得到了救治。
