van den Wildenberg F A, Kurvers H A, Jacobs M J, Eggink G J, Bulstra S, Sluyter M, Dingemans W
Klinik für Chirurgie, Universitätskrankenhaus Maastricht.
Unfallchirurg. 1994 Sep;97(9):485-90.
Posttraumatic dystrophy (PTD) is a syndrome that involves both neurological symptoms and microvascular abnormalities. A total of 44 consecutive patients seen for the first time with PTD were investigated. In 42 patients X-rays were taken: of the cervical spine in the case of PTD of the hand, and of the cervical, thoracic, and lumbar spine in the case of PTD of the foot. Two patients refused this investigation. In all 44 patients microvascular functions were investigated by means of transcutaneous oximetry, laser Doppler flow metering and capillary microscopy. In 34 of 42 patients radiographical disturbances of the vertebral column were noted, 19 of them on the same side as the affected extremity. Patients with a sensation of warmth in the affected extremity during the investigations exhibited a different microvascular behaviour than patients with a cold feeling. Both groups had different microvascular outcomes from healthy volunteers.
创伤后营养不良（PTD）是一种涉及神经症状和微血管异常的综合征。对首次就诊的44例连续性PTD患者进行了调查。42例患者进行了X线检查：手部PTD患者拍摄颈椎X线片，足部PTD患者拍摄颈椎、胸椎和腰椎X线片。2例患者拒绝此项检查。对所有44例患者均通过经皮血氧测定法、激光多普勒血流仪和毛细血管显微镜检查来研究微血管功能。42例患者中有34例发现脊柱存在影像学异常，其中19例位于患侧肢体的同侧。在检查过程中，患侧肢体有温热感的患者与有冷感的患者表现出不同的微血管行为。两组患者的微血管检查结果与健康志愿者均不同。
