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扣带回切开术对胃危象疼痛的有益作用

[Favorable effect of cingulotomy on gastric crisis pain].

作者信息

Mempel E, Dietrich-Rap Z

出版信息

Neurol Neurochir Pol. 1977 Sep-Oct;11(5):611-3.

PMID:593512
Abstract

Among the patients subjected to cingulotomy in the years 1969-1976 we observed a particularly interesting case of late syphilis with attacks of gastric crisis-type pains. Prolonged pharmacological treatment and subsequent surgery (laparatomy, chordotomy) as well as the use of large doses of narcotic drugs did not stop these attacks. The patient exhibited psychic disturbances such as emotional instability and aggressive behaviour. He had not been able to work and was granted a pension. Cingulotomy was performed and the attacks disappeared. During the six-year follow-up period the beneficial effects of the operation were preserved. There was no need to administer narcotic drugs. The patient's family and social life improved markedly.

摘要

在1969年至1976年间接受扣带回切开术的患者中,我们观察到一例特别有趣的晚期梅毒病例,该患者发作胃危象型疼痛。长期药物治疗、随后的手术(剖腹术、脊髓前侧柱切断术)以及大剂量麻醉药物的使用均未能阻止这些发作。患者表现出情绪不稳定和攻击性行为等精神障碍。他无法工作并获得了养老金。实施了扣带回切开术,发作消失。在六年的随访期内,手术的有益效果得以维持。无需使用麻醉药物。患者的家庭和社会生活明显改善。

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