Dao Thuan, Amaro-Driedger David, Mehta Jaideep
Department of Anesthesiology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Local Reg Anesth. 2016 Jun 15;9:35-7. doi: 10.2147/LRA.S97111. eCollection 2016.
Raynaud's syndrome has been treated medically and invasively, sometimes with regional anesthesia leading up to sympathectomy. We demonstrate that regional anesthesia was in this case a useful technique that can allow some patients to find temporary but significant relief from symptoms of Raynaud's syndrome exacerbation. We present a 43-year-old woman with Raynaud's syndrome secondary to lupus who was treated with bilateral popliteal nerve block catheters for ischemic pain and necrosis of her feet; this led to almost immediate resolution of her pain and return of color and function of her feet. While medical management should continue to be a front-line treatment for Raynaud's syndrome, regional anesthesia can be useful in providing rapid dissipation of symptoms and may thus serve as a viable option for short-term management of this syndrome.
雷诺综合征已采用药物和侵入性方法进行治疗，有时会采用区域麻醉直至交感神经切除术。我们证明，在这种情况下，区域麻醉是一种有用的技术，可使一些患者从雷诺综合征加重的症状中获得暂时但显著的缓解。我们报告一名43岁患有狼疮继发雷诺综合征的女性，她接受了双侧腘神经阻滞导管治疗足部缺血性疼痛和坏死；这几乎立即缓解了她的疼痛，足部恢复了颜色和功能。虽然药物治疗应继续作为雷诺综合征的一线治疗方法，但区域麻醉有助于快速消除症状，因此可作为该综合征短期治疗的可行选择。
