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

来源：

CLINICAL RHEUMATOLOGY | 1991年 / 10卷 / 04期

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

页码：377 / 383

页数：7

共 31 条

[21]

Ziegler G., Ballester G., Paecht A., Commandre F., Fuller L., Bêta-bloquants et algodystrophies sympathiques post-traumatiques, Rhumatologie, 31, pp. 83-87, (1979)

[22]

Maxwell R.A., Guanethidine after twenty years: a pharmacologist's perspective, Br J Clin Pharmacol, 13, pp. 35-44, (1982)

[23]

Diebold P., Litchenko M., Gautier A., Delagoutte J.P., Apport du bloc à la guanéthidine dans les séquelles des algodystrophies post-traumatiques du pied, Med Chir Pied, 8, pp. 139-141, (1986)

[24]

Sharpe E., Milaszkiewicz R., Carli F., A case of prolonged hypotension following intravenous guanethidine block, Anaesthesia, 42, pp. 1081-1084, (1987)

[25]

Farcot J.M., Mangin P., Laugner B., Thiebaut J.B., Foucher G., Le bloc sympathique périphérique par l'anesthésie locale intraveineuse à la guanéthidine dans les syndromes algodystrophiques, Anesth Analg (Paris), 38, pp. 383-385, (1981)

[26]

Ginouves P., Romain M., Canaud N., Allieu Y., Blocs intraveineux à la guanéthidine dans les algodystrophies du membre supérieur en milieu orthopédique, Les Algodystrophies sympathiques réflexes, pp. 291-295, (1987)

[27]

Jacquenoud G., Chamay A., Traitement de l'algodystrophie de la main par bloc régional intraveineux à la guanéthidine, Annales de Chirurgie de la Main, 1, pp. 57-64, (1982)

[28]

Gallais S., Bord Y., Darnat S., Mottet P., Guggiari M., Viars P., Algodystrophie post-traumatique et analgésie par blocs IV itératifs à la guanéthidine, Ann Anesthesiol Fr Réanim, 4, pp. 591-601, (1985)

[29]

Woosley R.L., Nies A.S., Drug therapy. Guanethidine, N Engl J Med, 295, pp. 1053-1057, (1976)

[30]

Woo R., McQueen J., Apnea and syncope following intravenous guanethedine bier block in the same patient on two different occasions, Anesthesiology, 67, pp. 281-282, (1987)

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