Madsen O R, Svensson B H, Pedersen L M, Bliddal H
Reumatologisk afdeling, Københavns Kommunehospital.
Ugeskr Laeger. 1992 Jun 1;154(23):1647-8.
Reflex sympathetic dystrophy (RSD) is a complex syndrome of pain, trophic changes and vasomotor instability affecting the limbs. Numerous theories have been suggested to explain the pathophysiology. None is universely accepted. In most of the patients reported, an antecedant event such as trauma or surgery is implicated in the initiation of symptoms. We describe a case of reflex sympathetic dystrophy developing after reconstruction of a. axillaris. To our knowledge there have only been a few previous descriptions of reflex dystrophy following vascular surgery. The mechanism of reflex sympathetic dystrophy secondary to vascular trauma is discussed. Presumely, damage to the arterial wall by trauma may initiate abnormal reflex activity and lead to RSD. We suggest that vascular surgery should be considered as a potential risk factor for the development of RSD.
反射性交感神经营养不良（RSD）是一种影响四肢的疼痛、营养变化和血管运动不稳定的复杂综合征。人们提出了许多理论来解释其病理生理学。但没有一种被普遍接受。在大多数报告的患者中，诸如创伤或手术等先前事件被认为与症状的起始有关。我们描述了一例在腋动脉重建术后发生反射性交感神经营养不良的病例。据我们所知，以前仅有少数关于血管手术后反射性营养不良的描述。本文讨论了血管创伤继发反射性交感神经营养不良的机制。据推测，创伤对动脉壁的损伤可能引发异常反射活动并导致RSD。我们建议血管手术应被视为RSD发生的一个潜在危险因素。
