超声引导下星状神经节阻滞治疗头颈部带状疱疹爆发痛1例

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摘要星状神经节阻滞常常用于头颈部带状疱疹后遗神经痛的治疗，本文报道1例64岁女性患者，因“左侧耳垂、枕部疼痛4 d伴左颈部红斑、疱疹1 d”住院，该患者疱疹于左颈肩部披肩样分布，疼痛以无皮疹的左侧耳垂、枕部为主，为阵发性刀绞般疼痛，爆发痛时视觉模拟评分为10分，间歇期4分。入院后给予抗病毒、营养神经、止痛综合治疗，在经过1次超声引导下星状神经节阻滞治疗后，疼痛迅速缓解。本文对此病例进行分析总结，为今后指导疼痛诊疗工作提供借鉴。

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	周红梅张建楠裴燕芳蔡靓羽▲

关键词 ：星状神经节阻滞, 带状疱疹, 爆发痛

Abstract：Stellate ganglion block is usually applied in the treatment of postherpetic neuralgia around the head and neck. In this case, a 64-year-old woman was adimitted to hospital for the pain in the left earlobe and occiput for 4 d, erythema and herpes in left neck for 1 d. The herpes zoster was located on the left neck and shoulder, but in the left earlobe and occipital area, the herpes disappeared and were mainly painful. The pain was paroxysmal, and the score of visual analogue scale during breakthrough was 10 and the intermittent period was 4. The therapy was combined with anti-virus, neuro nutrition and analgesia. After one performace of stellate ganglion block guided by ultrasound, the patient derived excellent relief from pain. The purpose of this paper is to summarize the experiences of this kind of disease and give a guidance for diagnose and treatment in pain clinic.

Key words： Stellate ganglion block Herpes zoster Breakthrough pain

通讯作者: ▲通讯作者

作者简介: 周红梅（1981.1-），女，硕士，主要从事临床麻醉、疼痛诊疗方面的工作。

引用本文:

周红梅张建楠裴燕芳蔡靓羽▲. 超声引导下星状神经节阻滞治疗头颈部带状疱疹爆发痛1例[J]. 中国医药导报, 2018, 15(18): 147-149.
ZHOU Hongmei ZHANG Jiannan PEI Yanfang CAI Liangyu▲. Stellate ganglion block guided by ultrasound used on breakthrough pain of herpes zoster in the head and neck: a case report. 中国医药导报, 2018, 15(18): 147-149.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2018/V15/I18/147

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