Molitor P J, Wimperis J Z
Orthopaedic Research Unit, Addenbrooke's Hospital, Cambridge.
Br J Clin Pract. 1990 Dec;44(12):675-6.
Acute median nerve compression at the wrist differs from the classical carpal tunnel syndrome in its aetiology and presentation. There is a rare association with haemophilia and such a case is reported in this paper. A review of the literature over the past 20 years revealed only nine cases. It is suggested that management should be conservative in the first instance, with factor VIII replacement continued for three to five days. Surgical decompression is indicated if symptoms fail to resolve in the first 24 hours.
腕部急性正中神经受压在病因和表现上与经典的腕管综合征不同。它与血友病有罕见关联，本文报告了这样一例病例。回顾过去20年的文献仅发现9例。建议首先采取保守治疗，持续三到五天补充凝血因子VIII。如果症状在最初24小时内未缓解，则需进行手术减压。
