Perelman R B, Adler D, Humphreys M
Tarzana Sports Injury and Orthopedic Medical Group, Tarzana, California.
Orthop Rev. 1987 Aug;16(8):561-6.
Reflex sympathetic dystrophies can be distressing conditions for patients as well as physicians. In the full-blown case, the diagnosis is easy to make; however, many more subtle forms of reflex sympathetic dystrophy exist. In the full-blown case, diagnosis may be quite simple when the physical findings are present. In the more subtle forms, however, one must have a high index of suspicion in order to make the diagnosis. Clinical testing, such as stellate ganglion blocks, may or may not be helpful. Electronic infrared thermography emerges as a helpful tool in the aid to diagnosis. We have presented several cases in order to illustrate this.
反射性交感神经营养不良对患者和医生来说都是令人苦恼的病症。在典型病例中,诊断很容易做出;然而,存在许多更隐匿的反射性交感神经营养不良形式。在典型病例中,当有体格检查发现时,诊断可能相当简单。然而,在更隐匿的形式中,为了做出诊断,必须有高度的怀疑指数。临床检查,如星状神经节阻滞,可能有用也可能没用。电子红外热成像作为辅助诊断的一种有用工具出现了。我们展示了几个病例以说明这一点。