Kleinman D, Rosen R C, Cohen J M
Department of Anesthesia, Englewood Hospital, New Jersey 07631.
J Foot Surg. 1990 Jan-Feb;29(1):55-8.
Reflex sympathetic dystrophy is an often overlooked diagnostic cause of posttraumatic pain. After wound healing, persistent pain frequently is treated with continued analgesic administration, physical therapy, acupuncture, nerve blocks, psychotherapy and sometimes even ignored in hopes that either the pain or the patient will "go away." The authors relate successful evaluation and treatment of reflex sympathetic dystrophy in the case of a young man with disabling pain following a healed crush injury to his foot.
反射性交感神经营养不良是创伤后疼痛一个常被忽视的诊断原因。伤口愈合后,持续性疼痛通常采用持续给予镇痛药、物理治疗、针灸、神经阻滞、心理治疗等方法来处理,有时甚至被忽视,寄希望于疼痛或患者会“自行消失”。作者讲述了一名年轻男子足部挤压伤愈合后出现致残性疼痛,成功评估和治疗反射性交感神经营养不良的病例。