幻肢疼痛和疼痛神经瘤经过静脉下肢截肢:一个系统的审查和元分析
Mirte Langeveld1,2, Romy Bosman1,2, Caroline A Hundepool1
1Department of Plastic, Reconstructive Surgery and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Vascular and endovascular surgery
|August 24, 2023
概括
幻肢疼痛 (PLP) 是经历了下肢截肢 (LLA) 后的69%的患者. 这一系统性审查强调了PLP的高患病率,强调了预防策略的必要性.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经外科 神经外科
- 截肢手术 截肢手术
背景情况:
- 幻肢疼痛 (PLP) 和症状神经瘤显著影响截肢者的生活质量.
- 缺血性下肢截肢 (LLA) 后的PLP和神经瘤的患病率尚未得到充分确立.
- 这项研究系统地审查和分析了经过失血管性LLA后的PLP和神经瘤患病率.
结论:
- 缺血下肢截肢导致幻肢疼痛的高患病率.
- 神经病痛往往是长期和残疾的,需要更好的管理.
- 在截肢手术期间,应优先考虑PLP的预防策略.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
17
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
17
Peripheral Artery Disease IV: Nursing Management
12
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12
Assessment of the Cardiovascular System III: Palpation
378
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
378


