Bersnev V P
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(6):835-41.
In 289 patients with a complete anatomical interruption of the median, ulnar and tibial nerves from 1 month to 2 years following the trauma the author determined the skin temperature in the autonomous zone and in the one of a maximum drop of sensibility. Anesthesia, a temperature drop on the average from 1.4 +/- 0.5--2.2 +/-0.5 degrees C, the absence of skin folds and a pinck color in thermal tests clarify the diagnosis of a complete anatomical interruption of the median or ulnar nerve. In lesions of both nerves, especially in combination with lesions of the arteries, the skin temperature is lower than that in an isolated damage of one of the neves. In most of the patients with an interruption of the tibial nerve the skin temperature in the autonomous zone is higher and there are no skin folds in the autonomous zones in thermal tests. Skin temperature measurements and thermal tests are simple objective methods in the diagnosis of nerve lesions.
在289例正中神经、尺神经和胫神经于创伤后1个月至2年出现完全解剖性中断的患者中，作者测定了自主区及感觉下降最明显区域的皮肤温度。麻醉状态下，温度平均下降1.4±0.5至2.2±0.5摄氏度，热试验中皮肤无褶皱且呈粉红色，可明确正中神经或尺神经完全解剖性中断的诊断。在两条神经均受损时，尤其是合并动脉损伤时，皮肤温度低于单一神经孤立损伤时的温度。在大多数胫神经中断的患者中，自主区皮肤温度较高，热试验中自主区无皮肤褶皱。皮肤温度测量和热试验是诊断神经损伤的简单客观方法。
