Pittman D M, Belgrade M J
Sister Kenny Institute, Minneapolis, Minnesota, USA.
Am Fam Physician. 1997 Dec;56(9):2265-70, 2275-6.
The term "complex regional pain syndrome" encompasses causalgia and reflex sympathetic dystrophy. Symptoms of burning pain with autonomic and tissue changes begin shortly after an injury, usually to a distal extremity. The diagnosis is based on the history and the clinical findings. No confirmatory tests are available, although plain radiographs or a three-phase bone scan may be helpful in diagnosing some cases. Aggressive treatment, which may include sympathetic blockade, medications, physical therapy and psychotherapy, is essential for a favorable outcome. Despite treatment, many patients are left with varying degrees of chronic pain and disability.
“复杂性区域疼痛综合征”一词涵盖灼痛和反射性交感神经营养不良。伴有自主神经和组织改变的灼痛症状通常在受伤后不久开始，通常累及远端肢体。诊断基于病史和临床检查结果。虽然普通X线片或三相骨扫描可能有助于某些病例的诊断，但目前尚无确诊性检查。积极治疗，包括交感神经阻滞、药物治疗、物理治疗和心理治疗，对于取得良好疗效至关重要。尽管进行了治疗，许多患者仍会遗留不同程度的慢性疼痛和残疾。
