The diagnosis and management of post-traumatic pain syndromes (causalgia).
The diagnosis and management of post-traumatic pain syndromes (causalgia).
复制标题
创伤后疼痛综合征（灼痛）的诊断和治疗。
DOI：
10.1111/j.1445-2197.1979.tb07669.x
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发表时间：
1979
期刊：
影响因子：
--
通讯作者：
J. Thopson
中科院分区：
文献类型：
--
作者：
J. Thopson
Smmary
There are two major categories of post-traumatic pain syndroms: (1) causalgia: and (2) mimocausalgia states or reflex sympatheic dystrophy. Vasoconstricition is usually present. Because of the pain, limitation of motion of the extremity occurs, and may result in permanent disability. There is often a great disparity between the apparent trauma and the severity of the pain.
sympathetic blocks and sympathectomy are definitive modes of therpy. In a series of 147 patients, 56% required surgical sympathectomy. The rest were treated by blocks, physical therapy, and other medical measures. Eighy-two percent had excellent relief of pain, 11% had good relief, while 7% had no relief. Thirty-one percent of patients had residual symptoms resulting from the original injury, or from irreversible occurrences on the basis of pain and trophic changes. Emphasis is placed on early recognition and proper treatment.
