Weil Yoram, Mattan Yoav, Goldman Vladimir, Liebergall Meir
Department of Orthopaedic Sugery, Hadassah Hebrew University Hospital, Jerusalem 91120, Israel.
J Arthroplasty. 2006 Apr;21(3):456-9. doi: 10.1016/j.arth.2005.03.042.
Sciatic nerve paralysis as a complication of bleeding due to hip surgery is a rare entity. The use of thrombolysis and full-dose heparin administration for the treatment of massive pulmonary embolism increase the risk for developing major bleeding. Prompt recognition and intervention in this condition are warranted. A case of sciatic nerve palsy due to expanding thigh hematoma as a complication of thrombolytic therapy for pulmonary embolism after total hip arthroplasty is presented with a literature review. Although rare, this complication should be promptly recognized and immediate decompression should take place because of the favorable results of the early treatment.
坐骨神经麻痹作为髋关节手术出血的并发症是一种罕见的情况。使用溶栓疗法和全剂量肝素治疗大面积肺栓塞会增加发生严重出血的风险。对此情况进行及时识别和干预是必要的。本文报告了一例全髋关节置换术后因肺栓塞溶栓治疗并发症导致大腿血肿扩大引起坐骨神经麻痹的病例，并进行文献复习。尽管这种并发症罕见，但因其早期治疗效果良好，应及时识别并立即进行减压。
