A case of complex regional pain syndrome type II after transradial coronary intervention.
A case of complex regional pain syndrome type II after transradial coronary intervention.
复制标题
DOI：
10.1007/s00540-004-0266-0
复制
发表时间：
2004-01-01
影响因子：
2.8
通讯作者：
Katsuya, Hirotada
中科院分区：
文献类型：
--
作者：
Sasano, Nobuko;Tsuda, Takako;Katsuya, Hirotada
经放射状途径进行冠状动脉插管现在是一种常规技术，在穿刺点没有严重的并发症。我们报告一例经放射状冠状动脉介入术后手部复杂的区域疼痛综合征II型(CRPS II型)，这可能会提醒医务人员该技术可能会导致严重的区域疼痛致残。一位61岁的女性因不稳定型心绞痛接受右桡动脉冠状动脉介入治疗。手术后，她主诉右手剧烈疼痛，一直沿着正中神经分布。神经传导检查提示有腕管综合征。我们诊断为II型CRPS，患者接受了星状神经节阻滞、颈段硬膜外阻滞以及阿米替林和洛索洛芬的治疗。症状逐渐改善，日常生活能力明显改善。正中神经似乎因局部压迫和潜在的缺血而受损。应仔细注意避免与过度压迫相关的II型CRPS。
The transradial approach for coronary catheterization is now a routine technique without serious complications at the puncture site. We report a case of complex regional pain syndrome type II (CRPS type II) in the hand after the transradial coronary intervention, which may alert medical personnel that the technique may cause serious regional pain with disability. A 61-year-old woman underwent coronary intervention via the right radial artery for the treatment of unstable angina. After the operation she complained of severe pain in the right hand, consistently felt along the median nerve distribution. The nerve conduction study suggested carpal tunnel syndrome. We made a diagnosis of CRPS type II, and the patient received stellate ganglion blockade, cervical epidural blockade, and administration of amitriptyline and loxoprofen. The symptoms gradually improved and her activities of daily living markedly improved. The median nerve appeared to be damaged by local compression and potential ischemia. Careful attention should be paid to avoid CRPS type II, associated with excess compression.