两名年轻女性的反射性交感神经营养不良
Reflex sympathetic dystrophy in two young females.
作者信息
Wettrell G, Hallböök T, Hultquist C
出版信息
Acta Paediatr Scand. 1979 Nov;68(6):923-4. doi: 10.1111/j.1651-2227.1979.tb08237.x.
Reflex sympathetic dystrophy in paediatric patients is a rarely recognized pain syndrome probably of neurovascular origin. The manifectations in two young females consisted of disabling pain and localized hyperesthesia in lower extremities without evident trauma. Sympathetic block followed by active mobilization and, in the patient with atrophic changes, lumbar sympathectomy, resulted in complete recovery. Reflex sympathetic dystrophy should be considered in the differential diagnosis of pain and tenderness in an extremity.
小儿反射性交感神经营养不良是一种很少被认识到的疼痛综合征，可能起源于神经血管。两名年轻女性的表现为下肢出现致残性疼痛和局限性感觉过敏，且无明显外伤。交感神经阻滞继以主动活动，对于有萎缩性改变的患者行腰交感神经切除术，结果完全康复。在鉴别诊断肢体疼痛和压痛时应考虑反射性交感神经营养不良。
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