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卒中后中枢痛 PPT课件

上传者:似水流年 |  格式:ppt  |  页数:34 |  大小:3417KB

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farcts: clinical syndromes, etiology, and prognosis. Neurology 1988; 38: 837 – 48. 2Widar M.Long-term pain conditions after a stroke. J Rehabil Med 2002;34: 165 – 70. 3Bowsher D. Stroke and central poststroke pain in an elderly population. J Pain 2001; 2: 258 – 61. 4Gyanendra Kumar. Central post-stroke pain: Current evidence. J Neurological Sci, 284 (2009) 10 – 17. Clinical characteristics of CPSP ?与病变大小、损伤侧无显著相关性;与部位( brainstem or thalamus )有一定相关性; ?自发痛与诱发痛并存( spontaneous or evoked ); ?疼痛分布范围可大可小(the hand, to one side of the body) ; ?受部位影响感觉的“阴性”与“阳性”体征并存( “ negative ” and “ positive ” sensory events ); ?痛觉超敏( Allodynia )、痛觉过敏( Hyperpathia ) 与感觉迟滞( Dysesthesias )并存; ?卒中后不同时期均可发生, 90% 有客观感觉异常; Kumar. Anesth Analg 2009;108:1645 – 57 Kumar B , et al. Anesth Analg. 2009,May;108(5):1645-57

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