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KMID : 0363119880010010120
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Korean Journal of Pain
1988 Volume.1 No. 1 p.120 ~ p.124
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Phenol Lumbar Sympathetic Block for Buerger's Disease
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문화영(文華榮)/Hwa-Young Moon
정창영(鄭昌泳)/박찬진(朴贊震)/Chang-Toung Jeong/Chan-Jin Park
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Abstract
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-Abstract-
Phenol sympathetic block is valuable for the treatment of ischemic pain, gangrene,
intermittent claudication, Paget's disease of the bone and pain associated with
pancreatitis, pancreatic carcinoma, etc.
The author has experienced a case of successful lumber sympathetic block using 7%
phenol under fluoroscopy and given to a patient with Buerger's disease who had severe
pain and ulceration of the right great toe for several years.
After the sympathetic block, 2 epidural blocks with 2.5% bupivacaine were done in
order to augment the effects of this sympathetic block. Subsidence of rest pain, increase
in walk- ing distance from under 100 M to over 500 M and circulatory improvement of
the affected limb were observed, Improvement of circulation was confirmed by strain
gauge plethysmography.
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