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1960年Young等描述过1例以急性交感和副交感功能紊乱为特征的综合征,大约2年后恢复.无中枢或周围神经系统受损的征象,也无可引起自主神经功能紊乱的既往病史.本文报告1例急性自主性神经病.这是至今文献上报告的第十二例.〔病例报告〕患者20岁,女性,以往健康,入院前10天突然发生急性呼吸道感染,8天后出现:视力模糊,呕吐,便秘,尿潴留,直立性晕厥,口、鼻、眼和皮肤极为干燥,四肢间歇性感觉异常.查体可见:瞳孔散大,对光和调节反应消失,严重的直立性低血压,肠鸣音降低,膀胱膨胀,弥漫性无汗症,鼻粘膜和结合膜极度干燥,腱反射消失.
In 1960 Young et al described a syndrome characterized by acute sympathetic and parasympathetic dysfunction and recovered after about 2 years without any signs of impaired central or peripheral nervous system or any previous medical history of autonomic dysfunction. This article reports 1 case of acute autonomic neuropathy, which is the twelfth reported in the literature so far [Case Report] 20-year-old female, formerly healthy, acute respiratory infection occurred 10 days before admission, appeared after 8 days: blurred vision , Vomiting, constipation, urinary retention, erection syncope, mouth, nose, eyes and skin is extremely dry, intermittent abnormalities in limbs. Physical examination shows: mydriasis, light and regulation response disappeared, severe orthostatic hypotension, Bowel sounds decreased, bladder swelling, diffuse sweat-free, nasal mucosa and conjunctiva extremely dry, tendon reflex disappeared.