Autonomic Dysreflexia: Be Aware and Be Prepared

作者:Parikh Rajiv P; Franzen Matthew; Pope Cecille; Gould Lisa*
来源:Wounds, 2012, 24(6): 160-167.

摘要

Autonomic dysreflexia (AD) is an acute, life-threatening syndrome of uncontrolled sympathetic discharge that occurs in patients with spinal cord injury at T6 or higher. Despite a high incidence in tetraplegics, the condition is under-recognized, putting both the practitioner and patient at risk. This report presents a case of AD triggered by debridement of a pressure ulcer. To advance the understanding among wound care practitioners, the authors review the literature, describe the common clinical presentations and scenarios leading to AD, delineate a protocol to guide management, and conclude with a discussion of potential preventative measures.

  • 出版日期2012-6