Gellman H, Eckert R R, Botte M J, Sakimura I, Waters R L
University of Southern California Department of Orthopaedic Surgery, Rancho Los Amigos Hospital, Downey 90242.
Clin Orthop Relat Res. 1988 Aug(233):126-31.
Sixty consecutive patients admitted to the spinal cord injury unit at a Downey, California medical center were evaluated for hand and upper extremity pain. Patients averaged nine months postinjury and had an average age of 37 years. Seven patients (11.7%) complained of diffuse hand pain, swelling, and stiffness. All patients with complaints were evaluated with three-phase radionuclide scintigraphy. Six of those seven patients had scintigrams consistent with reflex sympathetic dystrophy (RSD), an overall incidence of 10%. Three of these six patients were treated with stellate ganglion blocks, which gave relief of symptoms and allowed return to their rehabilitation program. An awareness of RSD as a cause of pain in spinal cord injured patients should lead to earlier recognition and treatment.
对加利福尼亚州唐尼市一家医疗中心脊髓损伤病房收治的60例连续患者进行了手部和上肢疼痛评估。患者受伤后平均9个月，平均年龄37岁。7例患者（11.7%）主诉手部弥漫性疼痛、肿胀和僵硬。所有有症状的患者均接受了三相放射性核素闪烁扫描评估。这7例患者中有6例闪烁扫描结果符合反射性交感神经营养不良（RSD），总发病率为10%。这6例患者中有3例接受了星状神经节阻滞治疗，症状缓解并得以继续康复计划。认识到RSD是脊髓损伤患者疼痛的一个原因，应能促使更早的识别和治疗。
