Yen H L, Kong K H, Tan E S
Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore.
Ann Acad Med Singap. 1994 May;23(3):391-5.
Reflex sympathetic dystrophy (RSD) can be precipitated by a variety of events. We report two cases of RSD in hemiplegic patients detected within three months of the cerebrovascular accidents. Diagnosis of RSD was based upon clinical and scintigraphic findings. Management included elevation, range of movement of the affected joints and analgesics. With treatment, the pain and swelling subsided, range of motion of joints improved and the patients were able to participate in the rehabilitation programme. A high index of suspicion, early diagnosis and aggressive treatment were found to be essential for the successful treatment of RSD.
反射性交感神经营养不良（RSD）可由多种事件诱发。我们报告两例偏瘫患者在脑血管意外后三个月内被检测出患有RSD。RSD的诊断基于临床和闪烁扫描结果。治疗措施包括抬高患肢、活动患关节以及使用镇痛药。经过治疗，疼痛和肿胀消退，关节活动范围改善，患者能够参与康复计划。结果发现，高度的怀疑指数、早期诊断和积极治疗对于成功治疗RSD至关重要。
