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首页> 外文期刊>AJR: American Journal of Roentgenology : Including Diagnostic Radiology, Radiation Oncology, Nuclear Medicine, Ultrasonography and Related Basic Sciences >Autonomic Dysreflexia in Patients With Spinal Cord Injury: What the Radiologist Needs to Know
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Autonomic Dysreflexia in Patients With Spinal Cord Injury: What the Radiologist Needs to Know

机译：脊髓损伤患者的自主神经反射症：放射科医生需要知道什么

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OBJECTIVE. Autonomic dysreflexia (AD) is a potentially life-threatening condition that occurs in patients with cervical and high thoracic spinal cord injury (SCI). AD is not completely understood and has a high incidence that increases proportional to the level and severity of the SCI. The signs and symptoms can vary, but severe hypertension is a dominant feature and may be fatal. This condition can be precipitated by a wide range of triggers occurring below the level of the injury, several of which are common to both diagnostic and interventional radiology, such as manipulation or distention of the genitourinary or gastrointestinal tract, patient positioning, or the use of certain anesthetic techniques. There is little guidance in the radiology literature specific to risk stratification or the use of premedication in this population. The incidence and pathophysiology of AD are discussed, along with pragmatic tips to aid the radiologist in selecting patients who may require a higher level of care or anesthesiologist involvement, with instructions for the conservative and medical management of acute episodes of AD.
机译：客观的。自主脱喉（AD）是一种潜在的危及生命危及生命的病症，患有宫颈和高胸脊髓损伤（SCI）的患者。广告并不完全理解并具有高发病率，增加与SCI的水平和严重程度成比例。标志性和症状可以变化，但严重的高血压是一个主导特征，可能是致命的。这种情况可以通过损伤水平的宽范围触发来沉淀出来，其中几种是诊断和介入放射学的常见，例如泌尿生殖或胃肠道，患者定位或使用的操纵或脱离某些麻醉技术。在危险分层或在本人群中使用预介质的放射学文献几乎没有指导。讨论了广告的发病率和病理生理学以及务实的提示，以帮助放射学家选择可能需要更高水平的护理或麻醉师参与的患者，以及广告的急性发作的保守和医学管理指导。

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