超声引导下腘坐骨神经阻滞治疗复杂区域疼痛综合征儿科患者:病例报告。

IF 1.7 4区 医学 Q2 ANESTHESIOLOGY Brazilian Journal of Anesthesiology Pub Date : 2024-09-01 DOI:10.1016/j.bjane.2021.07.012
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引用次数: 0

摘要

在儿童群体中,复杂区域疼痛综合征(CRPS)是一种具有挑战性的疾病,会导致慢性社会心理功能障碍。本病例是一名 12 岁的男性患者,体重 50 公斤,在扭伤右脚踝后开始出现剧烈疼痛。在没有得到充分诊断和治疗的情况下,他的家人找到了疼痛专科医生。在评估过程中,除了痛觉减退、异物感、发红、水肿和运动功能障碍外,还观察到敏感度和温度的变化,因此被诊断为 CRPS。医生在超声引导下对他的患肢进行了坐骨神经阻滞治疗,从而延长了发作间隔时间,降低了疼痛强度,并促进了他恢复日常活动。
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Ultrasound-guided popliteal sciatic nerve block in a pediatric patient with complex regional pain syndrome: a case report

In the pediatric population, complex regional pain syndrome (CRPS) is a challenging condition that leads to chronic psychosocial dysfunction. This case is of a 12-year-old male patient, 50.ßkg, who, after twisting his right ankle, started to present intense pain. Without adequate diagnosis and treatment, his family sought a pain specialist. During the evaluation, a change in sensitivity and temperature was observed, besides hyperalgesia, allodynia, redness, edema, and motor dysfunction, being diagnosed with CRPS. Ultrasound-guided sciatic blocks were performed on the affected limb, increasing the interval between crises, reducing pain intensity, and promoting a return to daily activities.

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发文量
88
审稿时长
68 days
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