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[复杂性区域疼痛综合征(CRPS)的发病机制]

[Pathogenesis of complex regional pain syndrome (CRPS)].

作者信息

Mashimo T

机构信息

Department of Anesthesiology and Acute Critical Medicine, Osaka University Medical School.

出版信息

Nihon Rinsho. 2001 Sep;59(9):1655-62.

Abstract

Neuropathic pain results from injury to neural structures within the peripheral or central nervous systems. Such injury promotes spontaneous and ectopic firing of nerves as well as reorganization of the nervous system. Neuropathic pain persists chronically. Patients who suffer from neuropathic pain exhibit persistent or paroxysmal pain without apparent immediate cause or pain hypersensitivity after tissue damage. This hypersensitivity is manifest as hyperalgesia and allodynia. Complex regional pain syndrome, CRPS is a category of neuropathic pain and is further divided into type I(reflex sympathetic dystrophy: RSD) and type II(causalgia). CRPS is characterized by localized autonomic dysregulation in the affected area with vasomotor and/or sudomotor changes, edema, colour difference, sweating abnormality, and atrophy.

摘要

神经性疼痛源于外周或中枢神经系统内神经结构的损伤。这种损伤会促进神经的自发和异位放电以及神经系统的重组。神经性疼痛会长期持续。患有神经性疼痛的患者表现出持续或阵发性疼痛,无明显直接病因,或在组织损伤后出现疼痛超敏反应。这种超敏反应表现为痛觉过敏和感觉异常。复杂性区域疼痛综合征(CRPS)是神经性疼痛的一种类型,进一步分为I型(反射性交感神经营养不良:RSD)和II型(灼痛)。CRPS的特征是受影响区域出现局部自主神经功能失调,伴有血管舒缩和/或出汗功能改变、水肿、肤色差异、出汗异常和萎缩。

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