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首页> 外文期刊>Canadian journal of anesthesia: Journal canadien d'anesthesie >The vexing problem of post-amputation pain: what is the optimal perioperative pain management for below-knee amputation?
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The vexing problem of post-amputation pain: what is the optimal perioperative pain management for below-knee amputation?

机译:截肢后疼痛的烦人问题:膝下截肢的最佳围手术期疼痛管理是什么?

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摘要

Phantom pain, denned as intense throbbing or burning pain in the missing distal limb, .is a common affliction after amputation. First described in 1872 by Ambroise Pare, the phenomenon is a common occurrence in 60-80% of amputees. Although some reports suggest abatement of phantom pain after a few years, others affirm it is long-lasting. In addition to phantom pain, the unfortunate patient may also experience pain in the residual leg (stump pain) for reasons such as osteomyelitis, excessive scar tissue, or neuroma formation. In numerous pharmacotherapy trials, opioids, ketamine, anticonvulsants, and tricyclic antide-pressants have provided only inconsistent relief.
机译:幻肢痛被认为是截肢后的常见病,通常表现为缺少的远端肢体剧烈的抽动或灼痛。这种现象在1872年由Ambroise Pare首次描述,在60-80%的截肢者中很常见。尽管有些报告建议在几年后减轻幻影疼痛,但其他报告则确认这种疼痛是持久的。除幻影疼痛外,不幸的患者还可能由于诸如骨髓炎,过多的疤痕组织或神经瘤形成等原因而在残余小腿上遭受疼痛(残端疼痛)。在许多药物治疗试验中,阿片类药物,氯胺酮,抗惊厥药和三环类抗抑郁药仅能提供不一致的缓解作用。

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