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急性自主神经病是一种罕见单相周围自主神经系统紊乱。具其临床谱,从交感(SP)副交感神经(PS)均受侵犯的全自主神经功能不全, 到罕见的单纯胆碱能神经病变(除了出汗以外,不影响交感神经功能),也称节后胆碱能神经功能不全(PCD),为急性或亚急性起病,主要侵袭儿童或年轻成人。以双侧眼内肌麻痹,泪液、唾液和汗液分泌减少,以及胃肠道和膀胱弛缓为特征。大多数患者仅获得不完全恢复,从而长期为严重的后遗症所困扰。本文报道1例 PCD 的成年男性患者,具有棘手的后遗症,在给予氯化乌拉胆碱及 Sildenafil 枸橼酸盐后获得可喜的效果。
Acute autonomic neuropathy is a rare disorder of the autonomic nervous system surrounding a single phase. With its clinical spectrum, autonomic nerve insufficiency from sympathetic (SP) parasympathetic (PS) violations is infused into rare cholinergic neuropathy (which does not affect sympathetic function except sweating) Post-cholinergic neurological insufficiency (PCD), acute or subacute onset, mainly affects children or young adults. Paralysis of the bilateral intraocular muscles, decreased tear, salivary and sweat secretion, and gastrointestinal and bladder flaccid features. Most patients only get incomplete recovery, which has long been plagued by serious sequelae. This article reports an adult male patient with PCD who has a thorny sequelae who is receiving good results after the administration of chlorinated uralchol and sildenafil citrate.