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Vol.40 No.4 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/2211

Title: 1988年奈良県立医科大学麻酔科外来に於けるペインクリニックの現況
Other Titles: ASPECTS OF PAIN CLINIC ACTIVITY AT NARA MEDICAL UNIVERSITY, DEPARTMENT OF ANESTHESIOLOGY (1988)
Authors: 北口, 勝康
山上, 裕章
下村, 俊行
橋爪, 圭司
中橋, 一喜
奥田, 孝雄
Keywords: pain clinic
cancer related pain
post-herpetic neuralgia
stellate ganglion block
Issue Date: 31-Aug-1989
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.40 No.4 p.443-447
Abstract: We conducted several treatments for 158 patinets who suffered from various persistent pains, vascular occlusive disease, facial palsy, idiopathic deafnessand and nasal allergy during 12 months (1988). The complaints of the patients were classified as follows : cancer related pain 34 (21%), post-herpetic neuralgia 24 (15%), low-back pain 24 (15%), cervical pain 20 (13%), reflex sympathetic dystrophy 6 (4%), facial pain 11 (7%), and trigeminal pain 6 (4%). As strategies for pain-relief and improving circulation, stellate ganglion block (58%), and epidural block (28.8%) were employed with local anesthetics. Moreover, thoracic and lumbar sympathetectomy by neurolytics (phenol-glycerine, pure alcohol) and thermocoagulation therapy were applied to the more severe intractable pain. Although no serious complications were observed in this survey, we suggest that these neurolytic procedures should be performed under intensive clinical supervision.
URI: http://hdl.handle.net/10564/2211
ISSN: 04695550
13450069
Appears in Collections:Vol.40 No.4

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