Amadio P C, Mackinnon S E, Merritt W H, Brody G S, Terzis J K
Mayo Clinic, Rochester, Minn. 55905.
Plast Reconstr Surg. 1991 Feb;87(2):371-5.
This report proposes that reflex sympathetic dystrophy be defined as a pain syndrome in which the pain is accompanied by loss of function and evidence of autonomic dysfunction. In the clinical setting, this diagnosis is usually associated with other anatomic and psychological diagnoses and may be associated with a variety of systemic illnesses and medicolegal factors. All components should be assessed before a treatment plan is established. Priorities should go to emergency care, acute injuries, and systemic illness, psychiatric problems, and chronic anatomic problems, in that order. Early, accurate diagnosis improves prognosis.
本报告建议将反射性交感神经营养不良定义为一种疼痛综合征,其疼痛伴有功能丧失及自主神经功能障碍的证据。在临床环境中,该诊断通常与其他解剖学和心理学诊断相关,并且可能与多种全身性疾病及法医学因素有关。在制定治疗计划之前,应评估所有因素。应依次优先处理紧急护理、急性损伤、全身性疾病、精神问题及慢性解剖学问题。早期、准确的诊断可改善预后。