Osher L S, Young G J, Edwards A A, Usewicz P, Lichniak J E
Ohio College of Podiatric Medicine, Cleveland 44106.
J Am Podiatr Med Assoc. 1993 May;83(5):276-83. doi: 10.7547/87507315-83-5-276.
Reflex sympathetic dystrophy syndrome is a troublesome, complex disorder that presents with chronic, unexplained aching or burning pain, the intensity of which is incommensurable with the original injury. Six diagnostic criteria have been described by Genant et al: pain and tenderness in the extremities; swelling of soft tissue; diminished motor function; trophic skin changes; vasomotor instability; and patchy osteoporosis. Currently, the most widely accepted etiology is an initial vasomotor reflex spasm occurring after an injury to the extremity, followed by a loss of vascular tone, persistent vasodilation, and rapid bone resorption.
反射性交感神经营养不良综合征是一种棘手的复杂病症，表现为慢性、不明原因的疼痛或灼痛，其疼痛强度与最初损伤程度不相称。Genant等人描述了六项诊断标准：肢体疼痛和压痛；软组织肿胀；运动功能减退；皮肤营养改变；血管舒缩不稳定；以及斑片状骨质疏松。目前，最被广泛接受的病因是肢体受伤后最初发生的血管舒缩反射痉挛，随后血管张力丧失、持续性血管扩张和快速骨质吸收。
