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[下肢损伤与苏戴克综合征]

[Lower limb injury and Sudeck's syndrome].

作者信息

Kotela I

机构信息

Poradni Rehabilitacyjno-Ortopedycznej Zespołu Opieki Zdrowotnej, Dabrowie Tarnowskiej.

出版信息

Przegl Lek. 1996;53(6):501-3.

PMID:8927753
Abstract

The term Sudeck's case is traditionally and commonly used to describe after injury painful and swelling changes which are accompanied by radiographic symptoms like pain, swelling, colour changes and warm changes of the skin of the limbs, trophic changes of hair and nails and acute period, dystrophy and disappearance in neurologic and cardiologic, rheumatologic, internistic cases are present, therefore, different synonyms are possible such as: reflex sympathetic dystrophy, algodystrophy, acute Sudeck's osteoporosis etc. The Sudeck's set treatment is complicated. There are several main groups: 1) treatment concerning sympathetic set of the limb, 2) calcitonin, 3) physiotherapy, 4) corticosteroids, 5) sweepers of free oxygen and hydroxylic, 6) pharmacotherapy, psychotherapy and, 7) some other forms of treatment. On the basis of literature and my own experiences I paid special attention to the role of calcitonin, calcium compounds and physiotherapy in Sudeck's case treatment after lower injury extremities and I gave scheme of treating of this difficult illness.

摘要

传统上,“苏戴克氏病”一词常用于描述受伤后出现的疼痛和肿胀变化,这些变化伴有影像学症状,如肢体皮肤疼痛、肿胀、颜色改变和温热变化、毛发和指甲的营养变化,在急性期,还存在神经、心脏、风湿、内科病例中的营养不良和消失情况,因此,可能有不同的同义词,如:反射性交感神经营养不良、痛性营养不良、急性苏戴克氏骨质疏松症等。苏戴克氏病的治疗很复杂。主要有几个类别:1)针对肢体交感神经的治疗,2)降钙素,3)物理治疗,4)皮质类固醇,5)游离氧和羟基清除剂,6)药物治疗、心理治疗,以及7)其他一些治疗形式。基于文献和我自己的经验,我特别关注降钙素、钙化合物和物理治疗在下肢受伤后苏戴克氏病治疗中的作用,并给出了这种疑难病症的治疗方案。

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