一位 T6 脊髓損傷病人出現自主神經反射異常,哪些評估發現符合此症狀?(選所有適合的)
Which assessment findings are consistent with autonomic dysreflexia in a client with a T6 spinal cord injury? (Select all that apply.)
- ASevere hypertension✓ 正解嚴重高血壓
- BBradycardia✓ 正解心動過緩
- CFlushed face above the level of injury✓ 正解損傷平面以上面部潮紅
- DDiaphoresis above the level of injury✓ 正解損傷平面以上出汗
- ETachycardia心動過速
自主神經反射異常(Autonomic Dysreflexia, AD)發生於 T6 或以上的脊髓損傷病人,是一種危及生命的緊急狀態。由於損傷平面以下的刺激(如脹尿、便秘)無法經脊髓傳導至大腦,引發交感神經劇烈反應,導致嚴重高血壓。身體則透過迷走神經代償引發心跳過慢。典型症狀包括損傷平面以上血管擴張(潮紅、盜汗)與平面以下血管收縮(蒼白)。
Autonomic dysreflexia (AD) occurs in patients with spinal cord injury at T6 or above and is a life-threatening emergency. Because stimuli below the level of injury (such as bladder distention or constipation) cannot be transmitted through the spinal cord to the brain, an exaggerated sympathetic response is triggered, producing severe hypertension. The body compensates through vagal-mediated bradycardia. Typical signs include vasodilation above the level of injury (flushing, diaphoresis) and vasoconstriction below it (pallor).