A Personal Overview of Causalgia and Other Reflex Dystrophies
A Personal Overview of Causalgia and Other Reflex Dystrophies
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烧灼痛和其他反射营养不良的个人概述
DOI：
10.1097/00000658-198503000-00004
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发表时间：
1985
影响因子：
9
通讯作者：
H. B. Shumacker
中科院分区：
文献类型：
--
作者：
H. B. Shumacker
这是一个真正的重大脑血管病和其他反射性营养不良，相关的，但明显独立的实体的个人评估。Caobligia的临床表现与Mitchell在120多年前描述的仅在微小方面不同。然而，它的管理已经得到澄清，主要是通过第二次世界大战的广泛经验。它很容易被识别，可以通过交感神经阻滞或交感神经切除术与积极运动一起有效治疗。其他的反射性营养不良还远未被了解。他们在早期阶段似乎有类似的模式，对锻炼和控制水肿的计划反应良好--由于疼痛和轻瘫，这种方案不能在没有交感神经阻滞或偶尔交感神经切除术的情况下进行。如果没有早期发现和正确治疗，共生体通常会发生显著变化，治疗方法也会不同。通常控制水肿和积极使用受影响的部分是所有必要的。有时，除了这些措施外，还需要交感神经阻滞或交感神经切除术。在管理中发现有用的准则进行了概述。令人困惑的功能进行了讨论。
This is a personal assessment of true major causalgia and the other reflex dystrophies, related but distinctly separate entities. The clinical picture of causalgia differs only in minor respects from that described by Mitchell over 120 years ago. Its management has, however, been clarified, largely through the extensive experiences of World War II. It is readily recognized and can be treated effectively by sympathetic blocks or sympathectomy together with active exercise. The other reflex dystrophies are far less understood. They appear to have a similar pattern in their early phase and to respond well to a program of exercise and control of edema--a regimen which, because of pain and paresis, cannot be carried out without sympathetic blocks or occasionally sympathectomy. When not recognized early and treated properly, the sympatomatology usually changes dramatically and treatment differs. Often control of edema and active use of the affected part are all that is necessary. Sometimes, in addition to these measures, sympathetic blocks or sympathectomy is required. Guidelines found useful in management are outlined. Puzzling features are discussed.