脊髓电刺激治疗一氧化碳中毒后神经痛:一例报道与文献复习  

Treatment of neuropathic pain after carbon monoxide poisoning with spinal cord electrical stimulation:one case report and literature review

作　　者：樊肖冲[1] 徐富兴 任欢 孔存龙[1] 卜慧莲[1] 温媛媛[1] 王涛[1] 马乐天 黄琛[1] Fan Xiaochong;Xu Fuxing;Ren Huan;Kong Cunlong;Bu Huilian;Wen Yuanyuan;Wang Tao;Ma Letian;Huang Chen(Department of Pain Management,the First Affiliated Hospital of Zhengzhou University,Zhengzhou City,Henan Province 450000,China)

机构地区：[1]郑州大学第一附属医院疼痛科,郑州市450000

出　　处：《中华疼痛学杂志》2021年第2期196-199,共4页Chinese Journal Of Painology

基　　金：河南省科技攻关计划(国际科技合作领域)项目(182102410014)。

摘　　要：急性一氧化碳中毒(ACOP)可累及全身各系统脏器,神经系统为最主要的受累器官。部分ACOP患者在CO中毒治愈后,经过假愈期,会出现感觉运动障碍等周围神经损害,并伴有神经痛症状。本文报告郑州大学第一附属医院疼痛科收治的1例CO中毒后神经痛患者,采用高压氧、镇痛药物以及神经阻滞等治疗,疗效不佳,后采取脊髓电刺激(SCS)治疗,患者痊愈。本病例报告显示SCS在CO中毒后神经痛的治疗具有良好的价值。Acute carbon monoxide poisoning(ACOP)can involve in systemic organs and central nervous system(CNS)as the most important organ.A few patients experienced 2-30 days of false recovery,peripheral nerve damage,such as sensory dyskinesia may appear with symptoms of neuropathic pain.In this paper,one patient with neuropathic pain after ACOP was treated by hyperbaric oxygen,analgesic drugs,and nerve block,but the curative effect was not good.After the spinal cord electrical stimulation(SCS)was used,the patient was cured.This case report shows that SCS has good value in the treatment of neuropathic pain after CO poisoning.

关 键 词：一氧化碳中毒 周围神经损伤 神经病理性疼痛 脊髓电刺激 

分 类 号：R595.1[医药卫生—内科学] R747.9[医药卫生—临床医学]