3例囊性纤维化患者的腰椎间盘突出症：病例系列
Lumbar disc herniation in three patients with cystic fibrosis: a case series.
作者信息
Denne Christian, Vogl-Voswinckel Anna E, Wurmser Harald, Steinborn Marc, Spaeth Manfred, Gruebl Armin, Burdach Stefan
机构信息
Department of Pediatrics, Kinderklinik München Schwabing, Klinikum Schwabing StKM GmbH and Klinikum Rechts der Isar (AöR) of the Technical University (TU) München, Munich, Germany.
出版信息
J Med Case Rep. 2011 Sep 6;5:440. doi: 10.1186/1752-1947-5-440.
INTRODUCTION
To date, lumbar disc herniation has not been reported in the context of cystic fibrosis even though back pain and musculoskeletal problems are very common in patients with cystic fibrosis.
CASE PRESENTATION
We report on three patients with cystic fibrosis who experienced lumbar disc herniation in the course of their disease at ages 19 to 21 years (a 22-year-old Caucasian man, a 23-year-old Caucasian man, and a 21-year-old Caucasian woman). Our third patient eventually died because of her deteriorated pulmonary situation, which was influenced by the lumbar disc herniation as it was not possible for her to perform pulmonary drainage techniques properly because of the pain.
CONCLUSIONS
Lumbar disc herniation can lead to a vicious cycle for patients with cystic fibrosis as it may promote pulmonary infections. This report highlights the need to investigate patients correctly.
引言
迄今为止，尽管背痛和肌肉骨骼问题在囊性纤维化患者中非常常见，但尚未有关于囊性纤维化患者发生腰椎间盘突出症的报道。
病例报告
我们报告了三名囊性纤维化患者，他们在19至21岁的病程中出现了腰椎间盘突出症（一名22岁的白种男性、一名23岁的白种男性和一名21岁的白种女性）。我们的第三名患者最终因肺部状况恶化而死亡，这受到腰椎间盘突出症的影响，因为疼痛使她无法正确进行肺部引流技术。
结论
腰椎间盘突出症可能导致囊性纤维化患者陷入恶性循环，因为它可能会促进肺部感染。本报告强调了正确检查患者的必要性。
Zotero 插件