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对脊髓刺激器系统性过敏反应试验:一个病例报告

Sara Heard¹, Jerry Lin²

¹Tufts University School of Medicine, Department of Internal Medicine, MetroWest Medical Center, Framingham, MA.

Pain medicine case reports

|September 16, 2025

概括

一名患者在脊髓刺激 (SCS) 试验中经历了严重的全身过敏反应,导致设备被移除. 这突显了SCS治疗可能出现显著不良事件的潜力.

科学领域:

神经学神经学
疼痛管理疼痛管理
过敏和免疫学过敏和免疫学

背景情况:

脊髓刺激 (SCS) 是一种常见的治疗慢性疼痛条件,如背痛和复杂的区域性疼痛综合征.
已知SCS试验和植入物的不良并发症,包括接触性皮肤炎.
对SCS试验的系统性过敏反应以前没有在医学文献中记录.

研究的目的:

在脊髓刺激试验期间报告系统性过敏反应的情况.
提高人们对与SCS治疗相关的潜在严重不良事件的认识.

主要方法:

一名患有II型复杂区域性疼痛综合征的52岁女性接受了针对慢性根性疼痛的SCS重复试验.
在光学指导下管理了SCS的放置和随后的迁移.
在除后,对患者的急性全身症状进行了监测.

主要成果:

患者最初从SCS试验中经历了疼痛缓解.
植入后三天,她出现了严重的全身症状,包括发烧,头痛,,恶心和腹.
急性症状的消失发生在SCS除后的48小时内.

结论:

对SCS的系统性过敏反应可能是严重的,即使疼痛症状有所改善,也需要移除设备.
需要进一步的研究,包括病例报告,以了解SCS的风险,如过敏反应,感染和神经损伤.

关键词:

案例报告案例报告过敏反应过敏反应慢性疼痛是一种慢性疼痛.脊髓刺激器是一种脊髓刺激器.

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