Rogé J, Bossot M
Sem Hop. 1976 Mar 23;52(12):731-8.
The authors report 17 severe cases of functional epigastric pain. There was a long history of severe pain with an effect on general health. It was resistant to usual symptomatic treatment. There were two special characteristics: fixity in time, and the ability to produce the pain on palpation of the region around the aorta. A psychological study showed an unusual form of neurotic decompensation occurring under special circumstances. Drug treatment in hospital gave favourable results which were maintained 2 to 5 years later on follow up.
作者报告了17例功能性上腹部疼痛的严重病例。这些病例有长期的严重疼痛史,对总体健康产生了影响。对常规对症治疗有抵抗性。有两个特殊特征:疼痛时间固定,以及触诊主动脉周围区域时能够引发疼痛。一项心理学研究表明,在特殊情况下会出现一种不寻常形式的神经功能代偿失调。住院期间的药物治疗取得了良好效果,在2至5年后的随访中仍保持有效。