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抗凝患者肱动脉穿刺后压迫性神经病变

Compression neuropathy following brachial arterial puncture in anticoagulated patients.

作者信息

Luce E A, Futrell J W, Wilgis E F, Hoopes J E

出版信息

J Trauma. 1976 Sep;16(9):717-21. doi: 10.1097/00005373-197609000-00006.

DOI:10.1097/00005373-197609000-00006
PMID:1011308
Abstract
  1. Seven patients were seen and treated over a 1-year span with forearm hematoma and median nerve neuropathy following brachial artery puncture. All seven were anticoagulated. 2) A careful examination established the diagnosis. Prompt operative intervention is recommended. 3) The brachial artery should be avoided as a source for arterial blood gas sampling in the anticoagulated patient.
摘要
  1. 在1年的时间跨度内，有7例患者在肱动脉穿刺后出现前臂血肿和正中神经病变并接受了治疗。所有7例患者均接受了抗凝治疗。2) 通过仔细检查确诊。建议立即进行手术干预。3) 对于接受抗凝治疗的患者，应避免将肱动脉作为动脉血气采样的来源。

相似文献

1
Compression neuropathy following brachial arterial puncture in anticoagulated patients.抗凝患者肱动脉穿刺后压迫性神经病变
J Trauma. 1976 Sep;16(9):717-21. doi: 10.1097/00005373-197609000-00006.
2
Brachial artery puncture: the need for caution.
J Fam Pract. 1989 Jun;28(6):720-1.
3
Brachial artery puncture: a definite risk to the hand.肱动脉穿刺：对手部有明确风险。
South Med J. 1984 Jun;77(6):786-9. doi: 10.1097/00007611-198406000-00036.
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Median nerve neuropraxia by a large false brachial artery aneurysm.巨大假性肱动脉瘤导致的正中神经失用症
Vascular. 2014 Oct;22(5):378-80. doi: 10.1177/1708538113516321. Epub 2013 Dec 17.
5
Acute radial nerve compression following routine venipuncture in an anticoagulated patient.抗凝患者常规静脉穿刺后急性桡神经受压
Am J Orthop (Belle Mead NJ). 1996 Oct;25(10):712-3.
6
Median-nerve neuropathy after percutaneous puncture of the brachial artery in patients receiving anticoagulants.接受抗凝治疗的患者经皮穿刺肱动脉后出现的正中神经病变。
N Engl J Med. 1973 Jun 28;288(26):1396. doi: 10.1056/NEJM197306282882609.
7
Detection of a brachial artery pseudoaneurysm using ultrasonography and EMG.使用超声检查和肌电图检测肱动脉假性动脉瘤。
Neurology. 2005 Aug 23;65(4):649. doi: 10.1212/01.wnl.0000173028.95614.ac.
8
Median nerve compression following radial arterial puncture.桡动脉穿刺后正中神经受压
Anesth Analg. 1980 Dec;59(12):953-4.
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Complications of arterial puncture in anticoagulated patients.抗凝患者动脉穿刺的并发症。
J Bone Joint Surg Am. 1976 Mar;58(2):218-20.
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[Nervous complications due to percutaneous retrograde catheterization of the axillary artery].经皮腋动脉逆行插管引起的神经并发症
J Chir (Paris). 1972 Oct;104(4):323-30.

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Clinicoecon Outcomes Res. 2011;3:1-7. doi: 10.2147/CEOR.S14489. Epub 2010 Dec 16.
6
Complications of anticoagulant therapy.抗凝治疗的并发症
West J Med. 1980 May;132(5):453-5.
7
Iatrogenic nerve injuries.医源性神经损伤。
Postgrad Med J. 1982 Mar;58(677):142-5. doi: 10.1136/pgmj.58.677.142.
8
Acute compartment syndromes resulting from anticoagulant treatment.抗凝治疗导致的急性骨筋膜室综合征
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Candida tropicalis abscess following arterial puncture.动脉穿刺后热带念珠菌脓肿
West J Med. 1979 May;130(5):462-3.