Friedman M S
Iowa Orthop J. 1994;14:141-7.
This paper reviews the symptomatology, pathophysiology, and treatment of reflex sympathetic dystrophy and sympathetically maintained pain. It is the author's experience that there exists a group of patients who present with chronic, unexplained pain following trauma, but lack the physical findings and positive investigative tests to confirm the diagnosis of reflex sympathetic dystrophy. For these patients, thermography serves as a useful and sensitive test to diagnosis sympathetically maintained pain. This paper presents six case reports in which thermography was used to diagnosis sympathetic dysfunction as the cause of chronic pain.
本文综述了反射性交感神经营养不良和交感神经维持性疼痛的症状学、病理生理学及治疗方法。作者的经验是，有一组患者在创伤后出现慢性、不明原因的疼痛，但缺乏确诊反射性交感神经营养不良的体格检查结果和阳性检查试验。对于这些患者，热成像检查是诊断交感神经维持性疼痛的一种有用且敏感的检查方法。本文介绍了6例使用热成像检查诊断交感神经功能障碍为慢性疼痛病因的病例报告。
