Hobelmann C F, Dellon A L
Raymond M. Curtis Hand Center, Union Memorial Hospital, Baltimore, MD.
Microsurgery. 1989;10(2):151-3. doi: 10.1002/micr.1920100219.
Twenty patients with sympathetic maintained pain (SMP) underwent surgery to treat an associated nerve injury. In each patient, an axillary catheter technique was used to maintain anesthesia and sympatholysis for up to 4 days following surgery. In no instance was the SMP exacerbated by the operation. The use of prolonged sympathetic blockade as an adjunct increases the margin of safety in surgery for these patients when nonoperative measures cannot relieve the pain or restore function.
20例交感神经维持性疼痛(SMP)患者接受了手术,以治疗相关的神经损伤。在每位患者中,采用腋路导管技术在术后长达4天维持麻醉和交感神经阻滞。在任何情况下,手术均未使SMP加重。当非手术措施无法缓解疼痛或恢复功能时,使用延长的交感神经阻滞作为辅助手段可提高这些患者手术的安全性。