在脊髓损伤患者的泌尿科护理中管理自主神经反射障碍

IF 12.1 1区医学 Q1 UROLOGY & NEPHROLOGY

Nature Reviews Urology Pub Date : 2025-04-07 DOI:10.1038/s41585-025-01026-6

Matthias Walter, Andrei V. Krassioukov, Tom E. Nightingale

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引用次数: 0

摘要

自主神经反射障碍是在第六胸段或以上脊髓损伤的个体中观察到的收缩压突然升高，通常由膀胱、肠道或性器官的刺激引起。自主神经反射障碍可引起严重的并发症，包括中风或死亡。泌尿外科手术期间的心血管监测是至关重要的，特别是对于颈脊髓损伤的个体，他们有发生自主神经反射障碍的最高风险。

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Managing autonomic dysreflexia during urological care in individuals living with spinal cord injury

Autonomic dysreflexia is a sudden rise in systolic blood pressure observed in individuals with spinal cord injury at or above the sixth thoracic spinal cord segment, often triggered by stimuli from the urinary bladder, bowel or sexual organs. Autonomic dysreflexia can cause severe complications, including stroke or death. Cardiovascular monitoring during urological procedures is crucial, particularly for individuals with cervical spinal cord injury who are at the highest risk of developing autonomic dysreflexia.

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来源期刊

Nature Reviews Urology 医学-泌尿学与肾脏学

CiteScore

12.50

自引率

2.60%

发文量

123

审稿时长

6-12 weeks

期刊介绍： Nature Reviews Urology is part of the Nature Reviews portfolio of journals.Nature Reviews' basic, translational and clinical content is written by internationally renowned basic and clinical academics and researchers. This journal targeted readers in the biological and medical sciences, from the postgraduate level upwards, aiming to be accessible to professionals in any biological or medical discipline. The journal features authoritative In-depth Reviews providing up-to-date information on topics within a field's history and development. Perspectives, News & Views articles, and the Research Highlights section offer topical discussions and opinions, filtering primary research from various medical journals. Covering a wide range of subjects, including andrology, urologic oncology, and imaging, Nature Reviews provides valuable insights for practitioners, researchers, and academics within urology and related fields.