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アロディニアを見たら 何を ... - hospi.sakura.ne.jp

?- - clinical question2017 3 28 95 CT *2 PCI CR ;never ; Vital signs; C BP140/64mmHg( ) HR76/min SpO296%(aa) RR20/min Th12 /

アロディニアを見たら 何を考え、どう動く?-疼痛、異常感覚の基礎知識を踏まえて-市立福知山市民病院 総合内科

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Transcription of アロディニアを見たら 何を ... - hospi.sakura.ne.jp

1 ?- - clinical question2017 3 28 95 CT *2 PCI CR ;never ; Vital signs.

2 C BP140/64mmHg( ) HR76/min SpO296%(aa) RR20/min Th12 / mg/dl17 U/l 5 U/l282 U/l559 U/I36 U/I68 U/l31 mg/dl mg/dl TPAlbT-BilGOTGPTLDH ALP -GPT CPKBUNCRECRPHbA1c WBCHgbHCTMCV PLT4680/ 3 / l PTAPTTPT-INRD-dimer141% NaKClCa140 mEq/l105 mEq/l mg/dlpHpCO2pO2 HCO3 ABGA (aa,RR24/min ( ) (3+) X CTR60% ECG HR77/min ST-T PAC CT / OPQRSTA ?)

3 ( .. )Clinical Question (International Association for the Study of Pain (IASP)) #Allodynia IASP ( ) 2011 ; ( )

4 1994 cm kPa 2011 .. 2011.

5 Hyperesthesia .. 2011 .. = + ( ..) (International Association for the Study of Pain (IASP)) #Allodynia .. Lancet 2014 review PMID:25142459 (14)70102-4 ( ) (dynamic allodynia) ,1-2cm/s(SENSE lab ) (punctate allodynia) ( )(static allodynia) ( )(static allodynia) CRPS PMID.

6 25142459 (14)70102-4 (dynamic allodynia); brush-evoked allodynia A (static allodynia); A C Technical Corner from IASP Newsletter,1997. (POST) guidelines( / ) PMID:25142459 (14)70102-4 ; ; ( ) ( ) ; ; ( ); Clinical Question HIV / HIV / /

7 Neuroma pain in neuropathic pain, Diagnosis, mechanisms, and treatment recommendations. Arch Neurol2003; 60: .. 2 ( ) MRI ? .. ( ; ) Babinski DTR; Biceps PTR; Th3 (= +)Lhermitte ( ) .. 5 ( ) MRI C6-Th2 T1 T2 ,000 23 30% 22% 35% 24 ( ) 4.

8 2016; 27: 95 golden time( 24 48 ) 10 Take Home Message CRPS ( ) MRI