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反射性交感神经性营养不良(reflexsympathic dystrophy,RSD)是一种并发症甚至发生在很轻微外伤或肢体手术后。据报告,各种骨折后RSD发生率为1％～2％,末梢神经损伤后来为2％～5％,大约5％的心肌梗塞患者也会出现类似RSD的表现,而不明原因者占10％～26％。RSD的病理生理过程目前仍有争论,据此,作者采用前瞻性研究方法,观察RSD的症状与体征,以探讨其有关病因。 记录了外科门诊的RSD患者症状与体征。并参照下列3条标准进行诊断:1.符合下述条件中的4～5条:(1)不能解释的弥散痛;(2)病变区与正常肢体的皮肤颜色不同;(3)弥漫性水肿;(4)病变区与正常肢体的皮肤温度不同;(5)运动功能受限。2.
Reflex sympathetic dystrophy (RSD) is a complication even after very minor trauma or limb surgery. It has been reported that the incidence of RSD after various fractures is 1% to 2%, peripheral nerve injury is 2% to 5% later, and about 5% of patients with myocardial infarction also show similar RSD performance, while unexplained causes account for 10% 26%. The pathophysiology of RSD is still controversial, therefore, the authors use a prospective study to observe the symptoms and signs of RSD to explore the etiology. The symptoms and signs of RSD patients in the surgical clinic were recorded. And refer to the following three criteria for diagnosis: 1. Meet the following conditions in 4 to 5: (1) unexplained diffuse pain; (2) lesions and normal limb skin color; (3) diffuse edema ; (4) Lesions and normal limb skin temperature is different; (5) Motor function is limited. 2.