最近审阅: 1 十一月 2020
最近更新: 17 十二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 慢性疼痛
  • 辐射性肢痛
  • 痛觉异常和痛觉过敏
  • 躯体基模
  • 水肿
  • 皮肤和指甲营养变化
  • 红斑或蓝色外观
  • 局部泌汗变化或泌汗不对称
  • 肌无力

其他诊断因素

  • 震颤
  • 肌张力不全性姿势
  • 挛缩
  • 袜套样分布的感知觉缺失
  • 局部毛发生长变化
  • 皮肤大疱

危险因素

  • 创伤
  • 制动
  • 女性
  • 其他激发事件

诊断性检查

首要检查

  • 依临床症状诊断,不需进行检测
更多 首要检查

需考虑的检查

  • 肌电图
  • 利用表面电极的神经传导检查
  • 皮肤钻孔活检
  • 患肢 X 光片
  • 锝99 m 骨闪烁扫描法
  • 双能 X 线骨密度测量仪 (DXA) 测定
  • 定量 CT 扫描
  • MRI 检查
  • 血管组织检查
  • 交感神经阻滞
  • 静脉内局部麻醉阻滞
更多 需考虑的检查

新兴检查

  • 定量感觉测定
  • 温度记录
  • 激光多普勒血流仪
  • 发汗(催汗)试验
更多 新兴检查

治疗流程

撰稿人

Consultant in Rheumatology

Cambridge University Hospitals NHS Foundation Trust

Addenbrooke's Hospital

Cambridge

UK 

利益声明

NS is medical adviser to Cambridge Nutraceuticals with stock options. He has received consultancy fees from Roche to provide unrestricted sponsored educational meetings, and grants from Versus Arthritis, the National Institute for Health Research Clinical Research Network, and the Medical Research Council. NS is an author of references cited in this topic.

Consultant in Pain Medicine and Anaesthesia

North Bristol NHS Trust

Bristol

UK 

利益声明

GC has been sponsored by Medtronic, Boston Scientific, Abbott, Nevro, Stimwave, and Polar Medical for attending various conferences and cadaveric workshops relevant to pain medicine and neuromodulation. GC is an associate examiner for the European Society of Regional Anaesthesia & Pain Therapy European Diploma of Pain Medicine exam and is also the regional advisor for pain medicine for the South West Severn deanery. 

Dr Nicholas Shenker and Dr Gaurav Chhabra would like to gratefully acknowledge Dr Steven H. Horowitz, a previous contributor to this topic.

利益声明

SHH declares that he has no competing interests.

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Department of Neurological Surgery

Weill Cornell Medical College

New York-Presbyterian Hospital

New York

NY

利益声明

AT declares that he has no competing interests.

Associate Chief of Rheumatology

VA Greater Los Angeles Healthcare System

Associate Professor of Medicine

David Geffen School of Medicine

UCLA

Los Angeles

CA

利益声明

AW declares that he has no competing interests.

Consultant in Pain Management and Anaesthesia

Pain Management Department

Royal National Orthopaedic Hospital NHS Trust

Middlesex

UK

利益声明

JB has been reimbursed by Pfizer for lectures given at Pfizer-sponsored meetings and courses. 

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