国际麻醉学与复苏杂志   2015, Issue (10): 3-3
    
下肢带状疱疹后遗神经痛诊治一例
张挺杰, 李君, 刘益鸣, 冯艺1()
1.北京大学人民医院疼痛医学科
The diagnosis and treatment of one patient with postherpetic neuralgia in low extremety
 全文:
摘要:

70岁男性,三月前带状疱疹后右侧臀部及下肢剧烈疼痛,并逐渐出现右侧臀部及下肢冰冷感,发汗障碍,伴肌肉萎缩及活动受限,经口服加巴喷丁、椎管内持续输注镇痛及神经阻滞治疗,症状缓解不明显,诊断为带状疱疹后遗痛合并复杂区域疼痛综合征,采用右侧腰交感神经节化学毁损,疼痛显著缓解、下肢温度回升、肌肉萎缩及无力逐渐改善。

关键词: 带状疱疹后遗痛;复杂区域疼痛综合征;腰交感神经毁损
Abstract:

One patient suffered from a severe pain of right hip and low extremity after herpes zoster affected three month ago, gradually felt ice-cold , sweating abnormality, combined with muscle dystrophy and limited activity in the same areas. Treatments including gabapentin, sustaining epidural drug infusion, and nerve blockade were not effective. After postherpetic neuralgia and complex regional pain syndrome was diagnosed, we perfomed the interventional therapy of right lumbar sympathetic ganglion chemical lesion. After the procedure, the feelings of pain and ice-cold were relieved dramatically, and muscle dystrophy and motor activity were gradually improved.

Key words: postherpetic neuralgia; complex regional pain syndrome (CRPS); lumbar sympathetic ganglion lesion