Van Wyngarden T M, Bleyaert A L
Podiatry Hospital of Pittsburgh, PA.
J Am Podiatr Med Assoc. 1991 Nov;81(11):580-4. doi: 10.7547/87507315-81-11-580.
Diagnosis and follow-up treatment of reflex sympathetic dystrophy is difficult because of the subjective, nonspecific nature of its primary symptom, burning pain. Early diagnosis and aggressive treatment of reflex sympathetic dystrophy with epidural nerve blocks improves clinical resolution. Temperature difference between extremities and dependent cyanosis are reliable objective signs for clinical diagnosis and the evaluation of progress for treatment for reflex sympathetic dystrophy.
反射性交感神经营养不良的诊断和后续治疗颇具难度，因其主要症状——灼痛具有主观性且缺乏特异性。采用硬膜外神经阻滞对反射性交感神经营养不良进行早期诊断和积极治疗可提高临床治愈率。肢体间的温差和下垂部位发绀是反射性交感神经营养不良临床诊断及治疗进展评估的可靠客观体征。
