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新生儿间隔综合征 1 例:一种罕见且具危害性疾病,早期诊断至关重要。

A case of neonatal compartment syndrome: importance of early diagnosis in a rare and debilitating condition.

机构信息

Department of Plastic Surgery, Gundersen Lutheran Medical Center, La Crosse, Wisconsin, USA.

出版信息

Am J Perinatol. 2010 Feb;27(2):103-6. doi: 10.1055/s-0029-1224870. Epub 2009 Jun 5.

Abstract

Neonatal compartment syndrome (NCS) is a rare condition that is often initially misdiagnosed because its skin lesions mimic several other more common diseases of the newborn. It has not been described in the pediatric literature thus far. Early diagnosis along with fasciotomy may be limb and function-sparing, but only in certain cases, because the exact time and duration of the initial insult and the full extent of damage at presentation is unknown in many cases. We present a case of NCS that was initially thought to be amniotic band syndrome, and delayed fasciotomy and debridement were performed once the correct diagnosis was made. We review the literature of this rare and debilitating condition and emphasize the importance of early diagnosis and intervention.

摘要

新生儿间隔综合征(NCS)是一种罕见的疾病,由于其皮肤损伤类似于其他几种更常见的新生儿疾病,因此常常被误诊。迄今为止,在儿科文献中尚未对此病进行描述。早期诊断和筋膜切开术可能有助于保留肢体和功能,但这仅在某些情况下适用,因为在许多情况下,初始损伤的确切时间和持续时间以及在发病时的损伤程度尚不清楚。我们报告了一例最初被认为是羊膜带综合征的 NCS 病例,并在确诊后延迟进行筋膜切开术和清创术。我们回顾了这种罕见且使身体虚弱的疾病的文献,并强调了早期诊断和干预的重要性。

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