Bilateral dorsal sympathectomy for hyperhidrosis; comparison of response to adrenalin and pilocarpine of preganglionic and post-ganglionic sympathectomy in same patient.
Bilateral dorsal sympathectomy for hyperhidrosis; comparison of response to adrenalin and pilocarpine of preganglionic and post-ganglionic sympathectomy in same patient.
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DOI：
10.1177/000331975100200106
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发表时间：
1951-02-01
期刊：
影响因子：
2.8
通讯作者：
JULIAN, O C
中科院分区：
文献类型：
--
作者：
MOCK, C J;JULIAN, O C
结果 1949 年 11 月 23 日，节前交感神经切除术后四十天和节后交感神经切除术后十四天，0.5cc。 1：1000肾上腺素皮下注射。双手表面温度下降；虽然在神经节前侧稍微更明显，随后上升至高于初始水平，但在神经节后侧下降更快且持续时间更长（图 1）。 17天后，即1949年12月9日，进行了类似的测试，节前侧表面温度没有降低，而节后侧有短暂的轻微下降，随后明显高于初始温度（图2）。在这两项测试中，肾上腺素释放前的初始温度在神经节后侧较高。 1949年12月1日节前交感神经切除术后59天和节后交感神经切除术后33天，皮下注射等量肾上腺素。双侧初始体温相同，肾上腺素作用后双侧降低。在神经节后侧，温度下降更明显、更迅速，但双侧以相似的速度上升到几乎初始水平（图 3）。
RESULTSOn November 23, 1949, forty days after the pre-ganglionic and fourteen days after the post-ganglionic sympathectomy, 0.5 cc. 1: 1000 adrenalin was injected subcutaneously. A drop in surface temperature was noted in both hands; al-though it was slightly more marked, with a subsequent rise above the initial level, on the pre-ganglionic side, the drop was more rapid and prolonged on the post-ganglionic side (fig. 1). Seventeen days later, on December 9, 1949, a similar test was performed, with no lowering of the surface temperature on the pre-ganglionic side, and with a slight drop of short duration and a definite rise above the initial temperature subsequently on the post-ganglionic side (fig. 2). In both of these tests, the initial temperature before adrenalin was higher on the post-ganglionic side. Fifty-nine days after the pre-ganglionic and thirty-three days after the post-ganglionic sympathectomy on December 1l, 1949, subcutaneous in-jection of the same amount of adrenalin was done. The initial temperature was the same bilaterally, and it was lowered on both sides after adrenalin. On the post-ganglionic side, the drop in temperature was more marked and more rapid, but the rise to almost the initial level was at a similar rate bilaterally (fig. 3).