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腰薦部交感神經節切除術이 皮膚知覺에 미치는 影響에 關한 臨床的 觀察

THE EFFECTS OF LUXBOSACRAL SYMPATHETIC GANGLIONECTOMY UPON CUTANEOUS SENSIBILITY

항공의학 1953년 1권 4호 p.46 ~ 63
정성장,
소속 상세정보
정성장 (  ) - 공군병원 항공의학연구소

Abstract


The effects of lumbosacral sympathetic ganglionctomy, dorsal sympathetic ganglionectomy and paravertebral block of the upper dorsal sympathetic ganglia upon cutaneous sensibility were observed in fifteen (15) hospitalized patients-including seven (7) causalgia cases and each one of the frost-bite, amputated foot, femoral aneurysm, hemiplegia, ulner paralysis, gunshot wound, radial osteomyelitis and humeral fracture cases.
In this study, the clinical courses and changes in cutaneous sensibility (touch, pain, cold, and warmth) were closely observed before and after each one of the afore mentioned operations was performed. In testing cutaneous sensibility, two-point threshold was measured for touch, a 25 gauge needles was used for pain and an aluminum cup containing cold water and a same container with warm water were used for cold and warmth respectively. The results of the observation if summarized are as follows:
1. In all of the nine (9) lumbosacral sympathetic ganglionectomized cases, appreciable increase of cutaneous sensibility in the lower limb on the operated side was noticed.
2. Paravetrebral block of the upper dorsal sympathetic ganglia in all of the th.ree (3) so treated cases, resulted in appreciable increase of cutaneous sensibility in the half extent of the face and neck on the blocked side.
In view of these findings, it seems, likely that there might exist definite physiological relationships between the peripheral sympathetic and sensory nerves. Further observations and experiments are needed and planned to clarify the relationships.

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