作者: P L Pelmear , W Taylor
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摘要: The hand-arm vibration syndrome affects workers who perform tasks that generate vibration. Raynaud's phenomenon and sensory impairment of the fingers are predominant effects. A history (HAV) exposure in a patient with these symptoms should alert physician to diagnosis. Referral special clinic or hospital department for multiple clinical tests is required confirm diagnosis and, using Stockholm classification, grade severity each hand. assessment permits be monitored either progression recovery from syndrome. Avoidance further recommended, together prescription slow-release calcium channel blocker improve peripheral circulation. Hand-arm distinguished carpal tunnel (CTS), which may have similar symptomatology but requires different treatments. Surgery contraindicated former last resort worker requiring good grip-strength future employment.