胸腔镜交感神经切断术治疗多汗症后上肢严重血管痉挛的发生和多次复发。
Occurrence and multiple recurrence of severe vasospasm of the upper extremity following thorascopic sympathectomy for hyperhidrosis.
机构信息
West Kent Vascular Centre, Medway NHS Foundation Trust, Gillingham, UK.
出版信息
Eur J Vasc Endovasc Surg. 2011 Feb;41(2):264-6. doi: 10.1016/j.ejvs.2010.11.003. Epub 2010 Dec 3.
INTRODUCTION
Thorascopic sympathectomy is a widely used procedure for the treatment of intractable palmar hyperhidrosis.
REPORT
A 24-year-old woman who underwent thorascopic sympathectomy for hyperhidrosis in 2005 presented on more than 30 occasions with recurrent right distal upper limb ischaemia secondary to repetitive episodes of vasospasm. The patient did not have preoperative symptoms consistent with Raynaud's syndrome. We observed a reduction in the symptomatic relief offered by Iloprost treatment over a period of five years.
DISCUSSION
This is the first report of distal upper limb ischaemia following thorascopic sympathectomy. We highlight the development of resistance to repeated Iloprost infusions that we observed in this case.
简介
胸腔镜交感神经切除术是治疗顽固性手掌多汗症的常用方法。
病例报告
一名 24 岁女性于 2005 年因多汗症行胸腔镜交感神经切除术，术后 30 余次出现反复发作的右上肢远端缺血，继发于血管痉挛反复发作。患者术前无符合雷诺综合征的症状。我们观察到，五年期间，前列地尔治疗的症状缓解效果逐渐减弱。
讨论
这是首例胸腔镜交感神经切除术后出现远端上肢缺血的报道。我们强调了在这种情况下观察到的对反复前列地尔输注的耐药性的发展。
Zotero 插件