Blockx P, Driessens M
Department of Nuclear Medicine, Antwerp University Hospital, Edegem, Belgium.
Nucl Med Commun. 1991 Aug;12(8):725-31. doi: 10.1097/00006231-199108000-00008.
Evaluation of the local haemodynamic changes was performed in 93 patients with untreated reflex sympathetic dystrophy, based upon a simple dynamic vascular examination technique, using 99Tcm-HSA. According to the disease stage, opposite observations were made: in stage I (n = 72) an increase in both blood flow and blood volume was found, in stage II (n = 21) in contrast, both blood flow and blood volume decreased. These findings show that reflex sympathetic dystrophy can be staged according to haemodynamic changes. It is obvious, moreover, that a careful haemodynamic staging is most important for the choice of the right vasoactive treatment; e.g. calcitonin (vasoconstrictive) versus guanethidine (vasodilating).
基于一种简单的动态血管检查技术，使用99锝-人血清白蛋白（99Tcm-HSA），对93例未经治疗的反射性交感神经营养不良患者进行了局部血流动力学变化评估。根据疾病阶段，观察到了相反的情况：在I期（n = 72），发现血流和血容量均增加；而在II期（n = 21），血流和血容量均减少。这些发现表明，反射性交感神经营养不良可根据血流动力学变化进行分期。此外，很明显，仔细的血流动力学分期对于选择正确的血管活性治疗至关重要；例如，降钙素（血管收缩剂）与胍乙啶（血管扩张剂）的对比。
