与自主反射障碍相关的死亡和危及生命的后续情况重新审查了自主反射障碍
Aliza Hirsch1,2, Andrei V Krassioukov1,2,3,4
1International Collaboration on Repair Discoveries, Faculty of Medicine, The University of British Columbia, Vancouver, Canada.
The journal of spinal cord medicine
|March 2, 2026
概括
自主反射障碍 (AD) 是脊髓损伤 (SCI) 后的一种严重疾病. 最近的文献显示,危及生命的AD病例很少,这表明识别和管理的改善,尽管警至关重要.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 自主反射障碍 (AD) 是脊髓损伤 (SCI) 患者的一种可能致命的疾病.
- 2014年的一项审查强调了AD的严重后果和死亡率.
- 这项研究更新了对危及生命的AD后果的理解.
研究的目的:
- 提供有关阿尔茨海默病危及生命的后果和与阿尔茨海默病相关的死亡率的最新文献综述.
- 为了确定严重的AD病例的趋势和特征.
主要方法:
- 在Embase,PubMed和Scopus进行了全面的文献搜索.
- 确定了2013年至2024年间发表的文章,详细介绍了危及生命的AD后续和死亡率.
- 包含了15篇符合条件的文章,描述了18个案例.
主要成果:
- 两个病例 (11%) 导致死亡.
- 15例 (83%) 涉及中枢神经系统 (CNS) 并发症,3例 (17%) 涉及心血管并发症.
- 肠道和膀问题触发了大多数AD病例 (89%),包括那些致命的病例.
结论:
- 在过去的十年中,报告的严重AD后续病例发生率有所下降.
- 更好的识别,及时管理和更好的结果可能解释了这一趋势.
- 对SCI患者来说,持续的心血管监测至关重要,以预防神经和心血管并发症.
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