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一个亟待解决的问题。幻肢痛与患者截肢的心理准备

A burning issue. Phantom limb pain and psychological preparation of the patient for amputation.

作者信息

Solomon G F, Schmidt K M

出版信息

Arch Surg. 1978 Feb;113(2):185-6. doi: 10.1001/archsurg.1978.01370140075015.

DOI:10.1001/archsurg.1978.01370140075015
PMID:626580
Abstract

Fantasies concerning an amputated limb can contribute to the occurrence of persistent phantom limb pain. We report a case in which burning pain perceived as located in the amputated lower extremities was related to the patient's feelings about incineration of the removed limbs against her wishes. Hypnotherapy involving elucidation of the fantasy and suggestion was successfully employed in this case and may be a helpful approach in other such cases. Importantly, adequate preparation of the patient for amputation, including an awareness of concerns about the disposition of the limb, may help prevent pathological limb sensations.

摘要

关于截肢肢体的幻想可能会导致持续性幻肢痛的发生。我们报告了一例病例,患者感觉截肢的下肢有灼痛,这与她对违背自己意愿焚烧切除肢体的感受有关。在该病例中,成功采用了包括阐明幻想和给予暗示的催眠疗法,这可能对其他此类病例有帮助。重要的是,对患者进行充分的截肢准备,包括让其了解对肢体处置的担忧,可能有助于预防病理性肢体感觉。

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引用本文的文献

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Psychiatric Disease after Isolated Traumatic Upper Extremity Amputation.孤立性创伤性上肢截肢后的精神疾病
J Hand Microsurg. 2021 Apr;13(2):75-80. doi: 10.1055/s-0040-1701156. Epub 2020 Apr 9.
2
Morbid curiosity? Discussion of the disposal of amputated limbs on online question and answer sites.病态的好奇心?在线问答网站上关于截肢肢体处置的讨论。
Digit Health. 2019 Nov 25;5:2055207619890473. doi: 10.1177/2055207619890473. eCollection 2019 Jan-Dec.
3
Psychiatric sequelae of amputation : ii long term effects.截肢后的精神后遗症:二、长期影响。
Indian J Psychiatry. 1997 Oct;39(4):318-23.
4
Psychiatric sequelae of amputation : I immediate effects.截肢后的精神后遗症:即刻影响。
Indian J Psychiatry. 1997 Oct;39(4):313-7.