Huang Y
Institute of Orthopaedics and Traumatology, Fourth Military Medical University, Xi'an.
Zhonghua Yi Xue Za Zhi. 1992 May;72(5):273-6, 318-6.
In 226 patients with iatrogenic peripheral nerve injuries, the causes were analyzed in detail. The iatrogenic nerve injuries were incurred through injection of therapeutic agents in 84 patients, inadvertent division by the surgeon in 44, traction during orthopaedic operation in 27, and undue compression from an ill-fitting splint or plaster cast in 26. The prophylaxis of such iatrogenic lesions is discussed. It cannot be over-stressed to exercise special care to prevent the nerve from being injured in the course of dissection or in any therapeutic maneuver, and to grasp a precise knowledge of pertinent anatomy on the part of the surgeon. Iatrogenic nerve injury is avoidable and, once incurred, satisfactory results can be expected and its consequences minimized when recognized and treated early and properly.
对226例医源性周围神经损伤患者的病因进行了详细分析。其中，84例因注射治疗药物导致医源性神经损伤，44例因外科医生操作时意外切断，27例因骨科手术中牵引，26例因不合适的夹板或石膏固定引起过度压迫。文中讨论了此类医源性损伤的预防措施。必须特别强调的是，在解剖过程或任何治疗操作中，要格外小心以防止神经受损，并且外科医生要掌握精确的相关解剖知识。医源性神经损伤是可以避免的，一旦发生，如果能早期正确识别并治疗，有望获得满意的结果并将其后果降至最低。
