带状疱疹一般发生于相应的感觉神经根的神经节炎,多见于肋间神经、三叉神经或面神经等。而发生于上、下肢的带状疱疹并发疹后神经痛实属少见,本文报告2例,并略加讨论。例1,男,68岁。于1989年5月,于农田劳动时,突感左上肢针刺样疼痛,误认为“劳动中扭伤”。次日疼痛加重,影响睡眠,服用镇静剂、止痛药无显效。三天后发现左上肢前外侧及左前臂桡侧有2～3个聚集一起小疱疹,从上向下散在排列呈条带状,7～8天后疱疹逐渐消退,但左上肢仍然疼痛不止、伴有麻木、手无力。转入我院神经科。此次发病前两周曾有感冒史。神经系统阳性所见:左上肢肌力3级,垂手征,颈5～7痛觉减低,肱二头肌腱反射、肱三头肌腱反射消失,末 Shingles usually occur in the corresponding sensory nerve root ganglion, more common in the intercostal nerve, trigeminal nerve or facial nerve. The occurrence of upper and lower extremity herpes zoster and neuralgia after rash is rare, this article reports 2 cases, and a little discussion. Example 1, male, 68 years old. In May 1989, when working on farmland, he suddenly felt acupuncture-like pain in his left upper extremity and mistook it for “sprained labor.” The pain increased the next day, affecting sleep, taking sedatives, painkillers ineffective. Three days later found that the left upper extremity and the left forearm radial side of 2 to 3 together with small herpes scattered from top to bottom were arranged in strips, 7 to 8 days herpes gradually subsided, but the left upper limb still more than pain, accompanied by Numbness, hand weakness. Transferred to our hospital neurology. The history of cold had two weeks before the onset. Neurological positive findings: Left upper limb muscle strength 3, vertical hand sign, neck pain reduction 5 to 7, biceps tendon reflex, triceps tendon reflex disappeared, the end