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["“胖腿”的鉴别诊断——一例报告"]

[Differential diagnosis of the "fat leg"--a case report].

作者信息

Forstner R, Rendl K H, Doringer E, Schmoller H J

机构信息

Röntgendiagnostisches Zentralinstitut, Landeskrankenanstalten Salzburg.

出版信息

Vasa. 1991;20(4):402-5.

PMID:1776355
Abstract

This is a report about a patient, who came to our hospital because of a painful thickening of her left calf. She was treated with Heparin 48,000 IU/24 hours. A crural vein thrombosis was suspected. Instead of improvement of the symptoms the diameter of the leg grew until the state of a complete Compartment-syndrome. After exact inspection (Sonography, Computertomogramm) we found a hematom of the calf, caused by a rupture of the tibial part of the gastrocnemius muscle. Fasciotomies and evacuation of the blood brought a restitutio ad integrum. Diagnostic methods and faults are discussed.

摘要

这是一份关于一名患者的报告,该患者因左小腿疼痛性增厚前来我院就诊。她接受了每24小时48,000国际单位肝素的治疗。怀疑有小腿静脉血栓形成。然而症状并未改善,腿部直径不断增大,直至出现完全性骨筋膜室综合征。经过精确检查(超声、计算机断层扫描),我们发现小腿有血肿,是由腓肠肌胫骨部分破裂所致。筋膜切开术和血肿清除使病情完全恢复。文中讨论了诊断方法及失误之处。

相似文献

1
[Differential diagnosis of the "fat leg"--a case report].["“胖腿”的鉴别诊断——一例报告"]
Vasa. 1991;20(4):402-5.
2
[Compartment syndrome following a hematoma in leg muscles, initially interpreted as deep venous thrombosis].[腿部肌肉血肿后发生骨筋膜室综合征,最初被误诊为深静脉血栓形成]
Ugeskr Laeger. 2005 Aug 22;167(34):3193.
3
Posterior compartment syndrome of the calf resulting from misdiagnosis of a rupture of the medial head of the gastrocnemius.
J Trauma. 1987 Jun;27(6):678-80. doi: 10.1097/00005373-198706000-00016.
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[Syndrome of "Coup de fouet". A case description and literature review].["抽鞭综合征。病例描述及文献综述"]
Dakar Med. 2005;50(3):208-10.
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Medial gastrocnemius hematoma mimicking deep vein thrombosis: report of a case.
Taiwan Yi Xue Hui Za Zhi. 1989 Jun;88(6):624-7.
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Rupture of the lateral head of the gastrocnemius muscle at the musculotendinous junction mimicking a compartment syndrome.
J Foot Surg. 1989 Sep-Oct;28(5):433-7.
7
Gluteal compartment syndrome.臀肌间室综合征
ANZ J Surg. 2007 Apr;77(4):307-8. doi: 10.1111/j.1445-2197.2007.04047.x.
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[Missed acute compartment syndrome of the lower leg].[小腿漏诊的急性骨筋膜室综合征]
Ned Tijdschr Geneeskd. 2004 Nov 6;148(45):2205-9.
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Acute compartment syndrome of the leg with avulsion of the peroneus longus muscle: a case report.伴有腓骨长肌撕脱的小腿急性骨筋膜室综合征:病例报告
J Foot Ankle Surg. 2009 May-Jun;48(3):365-7. doi: 10.1053/j.jfas.2009.01.009. Epub 2009 Mar 17.
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Muscle injuries of the lower leg.小腿肌肉损伤
Semin Musculoskelet Radiol. 2010 Jun;14(2):162-75. doi: 10.1055/s-0030-1253158. Epub 2010 May 18.

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