Goris R J, Reynen J A, Veldman P
Sint-Radboudziekenhuis, afd. Algemene Chirurgie, Nijmegen.
Ned Tijdschr Geneeskd. 1990 Nov 3;134(44):2138-41.
The clinical signs and symptoms in 441 patients with post-traumatic dystrophy were recorded. This form of dystrophy occurred three times as often in females as in males and twice as often in the arms as in the legs. In 5% of the patients the first symptom is a cold extremity; these patients run a greater risk of major sequelae. Exacerbation of the symptoms under influence of muscular exercise proved to be an important prognostic factor. A large proportion of the referred patients proved to have undergone a treatment aimed at elimination of the sympathetic nervous system, without success. Post-traumatic dystrophy can impede all structures and functions of the affected extremity and may result in major sequelae and disablement. The pseudoparalysis of the later phase may be mistaken for conversion.
记录了441例创伤后营养不良患者的临床体征和症状。这种形式的营养不良在女性中的发生率是男性的三倍，在上肢的发生率是下肢的两倍。5%的患者首发症状为肢体发冷；这些患者发生严重后遗症的风险更高。事实证明，肌肉运动影响下症状的加重是一个重要的预后因素。很大一部分转诊患者接受过旨在消除交感神经系统的治疗，但未成功。创伤后营养不良可妨碍患肢的所有结构和功能，并可能导致严重后遗症和残疾。后期的假性瘫痪可能被误诊为转换障碍。
