Nordmann Giles R, Lauder Gillian R, Grier David J
Bristol Royal Hospital for Children, Bristol, UK.
Eur J Pain. 2006 Jul;10(5):409-12. doi: 10.1016/j.ejpain.2005.05.006. Epub 2005 Jun 24.
The aim of this paper is to describe the first reported use of computed tomography (CT) guided lumbar sympathetic block as treatment of a case of complex regional pain syndrome (CRPS) in a child. The potential aetiology of CRPS is discussed in relation to the mechanism of action of local anaesthetics used in the block. Based on the successful treatment of this child and the documented success of its use in adults, we conclude that despite the minimal dose of radiation given, CT guided lumbar sympathetic block is an important treatment option in CRPS in children.
本文的目的是描述首次报道的使用计算机断层扫描(CT)引导下腰交感神经阻滞治疗一名儿童复杂性区域疼痛综合征(CRPS)的病例。结合阻滞中使用的局部麻醉药的作用机制,讨论了CRPS可能的病因。基于该儿童的成功治疗以及其在成人中使用的成功记录,我们得出结论,尽管给予的辐射剂量极小,但CT引导下腰交感神经阻滞仍是儿童CRPS的重要治疗选择。