儿童复杂性区域疼痛1例报告

Complex regional pain syndrome in children:a case report

复杂性区域疼痛(CRPS)是一种被放大的运动和感觉疼痛综合征,儿童发病相对罕见。此例患儿男性,9.9岁,以腹痛起病,后转化为难以忍受的肢体疼痛。入院后完善检查,排除感染、肿瘤、结缔组织病等因素,根据患儿外周肢体发作性疼痛明显,疼痛时皮温明显降低,皮肤湿冷,考虑CRPS。予以舍曲林等药物口服治疗,疼痛症状改善。此病例为国内首次报道。掌握CRPS的临床特点和规范化管理,对于缓解肢体疼痛、恢复肢体机能,并避免远期的功能障碍有重要作用。

Complex regional pain syndrome (CRPS) is an amplified motor and sensory pain syndrome,which is relatively rare in children.A 9.9-year-old boy presented with abdominal pain at the beginning,and then he was admitted to our hospital because of sever limb pain.After admission,the examination was completed to exclude infection,tumor,connective tissue diseases and other factors.According to the patient’s obvious paroxysm pain in the peripheral limbs,significant decrease of the skin temperature during the pain and clammy of skin,CRPS was considered.Sertraline and other oral medication were prescribed.The pain symptoms were improved after the medication.This case is the first reported in China.Mastering the clinical characteristics and standardized management of CRPS plays an important role in relieving pain,restoring limb function and avoiding long-term dysfunction.