神经刺激引导股神经阻滞致因子 XI 缺乏症患者神经内血肿：病例报告。
Intraneural hematoma after nerve stimulation-guided femoral block in a patient with factor XI deficiency: case report.
机构信息
Department of Anesthesiology, Hospital Clínico Universitario de Santiago, 15706 Santiago de Compostela, Spain.
出版信息
J Clin Anesth. 2011 May;23(3):234-7. doi: 10.1016/j.jclinane.2010.03.009.
Intraneural hematoma after a peripheral nerve block is a theoretical cause of postoperative nerve injury that has not been previously documented in humans. We report an intraneural hematoma after nerve stimulation-guided femoral block, which occurred in a patient with undiagnosed factor XI deficiency and a slightly prolonged activated partial thromboplastin time. Onset of paralysis several days after surgery prompted early surgical exploration and removal of an intraneural hematoma at the femoral nerve. Improvement in motor function was noted after epineurolysis of the femoral nerve. Early nerve decompression contributed to a satisfactory outcome.
神经内血肿是外周神经阻滞术后神经损伤的理论原因，但此前尚未在人体中得到证实。我们报告了一例神经刺激引导股神经阻滞术后发生的神经内血肿，该患者存在未诊断的因子 XI 缺乏症和稍延长的活化部分凝血活酶时间。术后数天出现瘫痪，促使我们进行早期手术探查，并在股神经处清除神经内血肿。股神经神经外松解术后运动功能得到改善。早期神经减压有助于获得满意的结果。
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