Klyscz T, Jünger M, Meyer H, Rassner G
Department of Dermatology, University of Tübingen, Germany.
Vasa. 1998 Feb;27(1):39-42.
We report on a 77-year-old male patient with systemic sclerosis. He suffered from secondary Raynaud's phenomenon on the basis of systemic sclerosis. Medical treatment in the past, including the administration of calcium-channel blockers, pentoxifylline and intravenous prostaglandin therapy, was unsuccessful and the clinical situation became worse. In a final effort stellate blocks were performed over a period of several weeks and, for the first time, there was lasting clinical benefit. Complaints and Raynaud's attacks abated significantly, as documented by local cold exposure tests. Therapeutic benefit from stellate blocks in a patient with systemic sclerosis is described here for the first time.
我们报告了一名77岁的系统性硬化症男性患者。他患有基于系统性硬化症的继发性雷诺现象。过去的医学治疗，包括使用钙通道阻滞剂、己酮可可碱和静脉注射前列腺素治疗，均未成功，临床状况恶化。在最后的努力中，在数周内进行了星状神经节阻滞，首次获得了持久的临床益处。如局部冷暴露试验所记录，症状和雷诺发作明显减轻。本文首次描述了星状神经节阻滞对系统性硬化症患者的治疗益处。
