Tessler M J, Kleiman S J
Department of Anaesthesia, Jewish General Hospital, Montreal, Quebec, Canada.
Anaesthesia. 1994 May;49(5):439-41. doi: 10.1111/j.1365-2044.1994.tb03483.x.
Phantom limb pain has been reported as a transient phenomenon in patients with lower limb amputations during subsequent spinal anaesthesia. In order to determine its incidence and to define any predisposing factors we prospectively studied 23 spinal anaesthetics in 17 patients with previous lower limb amputation. Only one patient developed clinically significant phantom limb pain and we were unable to define any predisposing factors. Given the low incidence of recurrent phantom limb with spinal anaesthesia, its transient nature, and the fact that it can be treated if it occurs, we conclude that spinal anaesthesia is not contraindicated in patients with previous lower limb amputation.
据报道，下肢截肢患者在随后的脊髓麻醉期间，幻肢痛是一种短暂现象。为了确定其发生率并明确任何诱发因素，我们对17例既往有下肢截肢的患者进行了23次脊髓麻醉的前瞻性研究。只有1例患者出现了具有临床意义的幻肢痛，我们无法明确任何诱发因素。鉴于脊髓麻醉后复发性幻肢痛的发生率较低、其短暂性，以及如果发生可以治疗这一事实，我们得出结论，既往有下肢截肢的患者进行脊髓麻醉并非禁忌。
