Spinal Cord Review: Neurogenic Shock, Dysreflexia and Cauda Equina | Part 2 | 脊髓 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All motor and proprioceptive fibres are ipsilateral within the cord,
whereas pain and temperature cross within two segments and are therefore contralateral.
Is the blood pressure low with a slow pulse and warm skin?
That is neurogenic shock, treated with vasopressors rather than fluid alone.
On autonomic dysreflexia, sit the patient up, remove the trigger,
usually a full bladder,
and lower the pressure only if it stays high.
Lumbosacral roots below the conus form the cauda equina,
and saddle anaesthesia with retention demands decompression within forty-eight hours.


All motor and proprioceptive fibres are ipsilateral within the cord,
whereas pain and temperature cross within two segments and are therefore contralateral.
Is the blood pressure low with a slow pulse and warm skin?
That is neurogenic shock, treated with vasopressors rather than fluid alone.
On autonomic dysreflexia, sit the patient up, remove the trigger,
usually a full bladder,
and lower the pressure only if it stays high.
Lumbosacral roots below the conus form the cauda equina,
and saddle anaesthesia with retention demands decompression within forty-eight hours.

Medical Notes · 醫學學習提示

  1. 脊髓定位與急救須結合檢查;圖為頸椎正常解剖示意
  2. 外側皮質脊髓束與後柱在脊髓內主要對應同側;非所有纖維
  3. 痛溫覺傳入多在鄰近一至兩節段交叉,形成對側傳導
  4. 低血壓、心搏過慢與溫暖皮膚可提示神經性休克
  5. 先排除出血;依容量狀態補液,必要時加升壓劑
  6. 疑似發作立即坐起、頻繁測血壓並迅速處理誘因
  7. 膀胱脹滿或尿管阻塞是常見誘因,須立即檢查
  8. 收縮壓約 150 mmHg 以上可需速效短效降壓藥,勿僅等待
  9. 脊髓圓錐下方腰薦神經根形成馬尾;圖為神經概念示意
  10. 鞍區麻木合併尿滯留須緊急 MRI、手術評估,勿等滿 48 小時

References