星状神经节阻滞作为慢性心包痛的诊断和治疗选择：病例报告。

Stellate Ganglion Block as a Diagnostic and Therapeutic Option in Chronic Pericardial Pain: A Case Report.

机构信息

From the Department of Anesthesia & Pain Management, The University of Toronto, Toronto Western Hospital, Women's College Hospital, Wasser Pain Management Clinic, Mount Sinai Hospital, Toronto, Ontario, Canada.

Department of Anesthesia & Pain Management, University of Toronto, Sinai Health System, University Health Network, Women's College Hospital, Wasser Pain Management Clinic, Mount Sinai Hospital, University Health Network Cancer Pain Clinic, Princess Margaret Hospital, Toronto, Ontario, Canada.

出版信息

A A Pract. 2021 Jan 19;15(1):e01375. doi: 10.1213/XAA.0000000000001375.

DOI:10.1213/XAA.0000000000001375

PMID:33512903

Abstract

The underlying pathophysiology and treatment of chronic pericardial chest pain remains unclear. We describe a clinical case of a 38-year-old patient with chronic chest pain in the context of Marfan syndrome, status post-valve-sparing aortic root repair, and recurrent pericarditis. The patient suffers from chronic pericardial pain secondary to recurrent pericarditis refractory to pharmacotherapy. A left-sided stellate ganglion block (SGB) was performed for both diagnostic and therapeutic purposes. Postprocedure follow-up demonstrated significant analgesic benefit at 8 months after the procedure.

摘要

慢性心包胸痛的潜在病理生理学和治疗仍不清楚。我们描述了一例 38 岁马凡综合征患者的临床病例，该患者在主动脉根部保留瓣膜修复术后和复发性心包炎的背景下出现慢性胸痛。患者因复发性心包炎对药物治疗无效而继发慢性心包痛。为了诊断和治疗的目的，进行了左侧星状神经节阻滞（SGB）。术后 8 个月的随访显示，该操作具有显著的止痛效果。