Mayne Alistair Ivan William, Howard Anthony, Kent Matthew, Banks Joanne
School of Medical Education, University of Liverpool, and Department of Trauma and Orthopaedic Surgery, Royal Liverpool University Hospital, Liverpool, UK.
BMJ Case Rep. 2012 Jul 3;2012:bcr0320126152. doi: 10.1136/bcr-03-2012-6152.
Acute carpal tunnel syndrome (CTS) is a rare surgical condition usually resulting from wrist trauma. We present the case of a young haemophilic man who developed acute CTS following trivial injury. The patient was initially managed conservatively but symptom progression resulted in carpal tunnel decompression. A literature review and management approach are presented. This is an important complication of haemophilia to be aware of as prompt conservative management can obviate the need for surgery. This case is useful in (a) highlighting the importance of considering a patient's medical history when formulating differential diagnoses and (b) outlining a management approach to this condition.
急性腕管综合征（CTS）是一种罕见的外科病症，通常由腕部创伤引起。我们报告一例年轻的血友病男性患者，其在轻微损伤后发生急性腕管综合征。患者最初接受保守治疗，但症状进展导致进行了腕管减压术。本文还介绍了文献综述及治疗方法。这是血友病的一种重要并发症，应予以关注，因为及时的保守治疗可避免手术需求。该病例有助于（a）强调在制定鉴别诊断时考虑患者病史的重要性，以及（b）概述针对该病症的治疗方法。
