急性药物中毒并发复杂局部疼痛综合征1例。

Toshihisa Hiraiwa, Hiroyuki Okada, Naotaka Sawada, Kimiya Nakayama, Noriyasu Senda, Minoru Kawanishi
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引用次数: 0

摘要

我们报告一例过渡到复杂区域疼痛综合征(CRPS)引起的神经损伤与挤压综合征。由于急性药物中毒导致昏迷,延误了诊断。患者44岁,2天前服用大量精神药物企图自杀,由救护车送至我院。由于长时间(2天)意识障碍,他的手臂被压缩,他经历了非创伤性挤压综合征和横纹肌溶解。大量输注和血液滤过可预防急性肾功能衰竭。然而,他在受压区域经历了肌肉和神经损伤,这可能导致了CRPS。在疑似挤压综合征合并急性药物中毒的病例中,认识到发生CRPS的可能性也很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Complex regional pain syndrome in a patient with acute drug poisoning: a case report].

We report a case with transition to complex regional pain syndrome (CRPS) caused by nerve injury associated with crush syndrome. The diagnosis was delayed because of coma due to acute drug poisoning. A 44-year-old man had attempted suicide by taking massive amounts of psychotropic drugs 2 days earlier and was transported to our hospital by ambulance. His arms had been compressed due to the prolonged (2 days) consciousness disturbance, and he experienced non-traumatic crush syndrome and rhabdomyolysis. Acute renal failure was prevented with massive infusion and hemofiltration. However, he experienced muscle and nerve injury at the compressed area, which presumably led to CRPS. In cases of suspected crush syndrome associated with acute drug poisoning, it is also important to recognize the possibility of developing CRPS.

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