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灼性神经痛:战时经历——20例治疗报告

Causalgia: a wartime experience--report of twenty treated cases.

作者信息

Jebara V A, Saade B

出版信息

J Trauma. 1987 May;27(5):519-24.

PMID:3573108
Abstract

During the 10-year period from 1975 to 1985 20 patients suffering from causalgia were treated. There were 15 men and five women. Ages ranged from 17 to 45 years (mean, 23). All were war casualties injured by high-velocity missiles. The median nerve was involved in eight cases, ulnar nerve in six, brachial plexus in four, sciatic nerve in four, radial nerve in three, and there were multiple nerve injuries in five cases. The diagnosis of causalgia was based on the characteristic clinical picture and was confirmed by sympathetic blocks. All patients were treated by sympathectomy and all had complete dramatic relief in the immediate postoperative period. Followup ranged from 4 months to 10 years (mean, 5.3 yr).

摘要

在1975年至1985年的10年期间,对20例灼性神经痛患者进行了治疗。其中男性15例,女性5例。年龄在17岁至45岁之间(平均23岁)。所有患者均为高速导弹致伤的战争伤员。正中神经损伤8例,尺神经损伤6例,臂丛神经损伤4例,坐骨神经损伤4例,桡神经损伤3例,5例为多发性神经损伤。灼性神经痛的诊断基于典型的临床表现,并经交感神经阻滞证实。所有患者均接受了交感神经切除术,术后即刻均获得了完全显著的缓解。随访时间为4个月至10年(平均5.3年)。

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