REGIONAL INTRAVENOUS GUANETHIDINE BLOCKS IN ALGODYSTROPHY

被引:19
作者
EULRY, F
LECHEVALIER, D
PATS, B
ALLIAUME, C
CROZES, P
VASSEUR, P
COUTANT, G
FELTEN, D
PATTIN, S
机构
[1] Department of Rheumatology, Hôpital Militaire BEGIN, Saint-Mande, F-94160
[2] Department of Emergency, Hôpital Militaire BEGIN, Saint-Mande, F-94160
关键词
ALGODYSTROPHY; GUANETHIDINE; REGIONAL INTRAVENOUS BLOCK;
D O I
10.1007/BF02206656
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Five-hundred-thirteen regional intravenous guanethidine blocks were carried out in 125 cases of algodystrophy (118 adults), after failure of other treatments in 120 cases (Group I) and without previous treatments in 5 (Group II). A positive result occurred in 85 cases of Group I (71%) and in the 5 cases of Group II, after 4.5 +/- 1.7 blocks. In Group I the results did not differ significantly between upper (33 cases) and lower (87 cases) limb or in regard to sex, age, duration of disease, nature of previous treatments. The presence of psychic disorders was accompanied by less frequent (p < 0.02) positive results. The tolerance was satisfactory in 85.6% of cases: 22 moderate side effects authorized a continuation of the blocks, 22 serious ones indicated interruption, especially one case of thrombophlebitis and another one of very transitory acute ischaemia. The risk of intolerance was significantly raised (p < 0.02) by age. The regional guanethidine blocks seemed to be a good treatment for algodystrophy after failure of other treatments.
引用
收藏
页码:377 / 383
页数:7
相关论文
共 31 条
[1]  
Renier J.C., Gougeon J., Algodystrophie décalcifiante réflexe, Rev Rhum, 49, pp. 757-759, (1982)
[2]  
Doury P., Dirheimer Y., Pattin S., Algodystrophy, (1981)
[3]  
Doury P., Algodystrophy. Reflex sympathetic dystrophy syndrome, Clin Rheumatol, 7, pp. 173-180, (1988)
[4]  
Leriche R., Oedéme dur aigu post-traumatique de la main avec impotence fonctionnelle compléte. Transformation soudaine cinq heures aprés sympathectomie humérale, Lyon Chir, 20, pp. 814-818, (1923)
[5]  
Simon L., Blotman F., Leroux J.L., Claustre J., Azema M.J., Brun-Meyer M., Réeducation et algodystrophie, Rev Rhum, 49, pp. 861-865, (1982)
[6]  
Eisinger J., Chiotti M., Dagorn J., Ouaniche J., Acquaviva P.C., Les traitements médicamenteux au cours de l'algodystrophie sympathique réflexe, Les Algodystrophies sympathiques réflexes, pp. 209-214, (1987)
[7]  
Kipper R., Helmer J., Vivin P., Fossard J.P., Thome M., Delagoutte J.P., Traitement des algodystrophies par blocages régionaux intraveineux à la guanéthidine, Cah Anesthésiol, 36, pp. 183-190, (1988)
[8]  
Hannington-Kiff J.G., Intravenous regional sympathetic block with guanethidine, Lancet, 1, pp. 1019-1020, (1974)
[9]  
Jeandel P., Prigent D., Gilette B., Imbert P., Angel G., Aubert M., Traitement des algoneurodystrophies réflexes par blocs sympathiques à la guanéthidine, Ann Med Interne (Paris), 140, pp. 166-168, (1989)
[10]  
Bruxelle J., Carter H., Menkes C.J., Traitement de l'algodystrophie par bloc sympathique à la guanéthidine, Les Algodystrophies sympathiques réflexes, pp. 267-274, (1987)