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一名类风湿性关节炎患者因寰枢椎半脱位引起的呼吸困难。

Dyspnea caused by atlantoaxial subluxation in a patient with rheumatoid arthritis.

作者信息

Lin Hsin-Yi, Chen Chien-Chih, Lee Yi-Kung, Su Yung-Cheng

机构信息

Emergency Department, Buddhist Tzu Chi Dalin General Hospital, no. 2, Minsheng Road, Dalin Township, Chiayi County 622, Taiwan.

出版信息

Case Rep Emerg Med. 2012;2012:170956. doi: 10.1155/2012/170956. Epub 2012 Feb 1.

DOI:10.1155/2012/170956
PMID:23326703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3542949/
Abstract

Atlantoaxial subluxation is a well-known but poorly recognized disease in rheumatoid patients. We report a patient with rheumatoid arthritis whose chief complaint was dyspnea on arrival to the emergency department (ED). After further investigation, spinal cord compression caused by atlantoaxial subluxation was diagnosed. This is an uncommon but important case that ED physicians should be aware of.

摘要

寰枢椎半脱位在类风湿患者中是一种广为人知但却认识不足的疾病。我们报告一例类风湿关节炎患者，其主要诉求是抵达急诊科时出现呼吸困难。经过进一步检查，诊断为寰枢椎半脱位导致的脊髓压迫。这是一个不常见但很重要的病例，急诊医生应予以关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0493/3542949/0dac88ae0b02/CRIM.EM2012-170956.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0493/3542949/0dac88ae0b02/CRIM.EM2012-170956.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0493/3542949/0dac88ae0b02/CRIM.EM2012-170956.001.jpg

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本文引用的文献

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Atlantoaxial subluxation as an early manifestation in an adolescent with undifferentiated spondyloarthritis: a case report and review of the literature.寰枢椎半脱位作为未分化脊柱关节炎青少年的早期表现：一例病例报告及文献复习
J Med Case Rep. 2011 Jul 3;5:275. doi: 10.1186/1752-1947-5-275.
2
Treatment of atlantoaxial instability in pediatric patients.小儿寰枢椎不稳的治疗
Neurosurg Focus. 2003 Dec 15;15(6):ECP1. doi: 10.3171/foc.2003.15.6.7.
3
Cervical spine management in patients with rheumatoid arthritis. Review of the literature.
类风湿性关节炎患者的颈椎管理。文献综述。
Phys Ther. 1988 Apr;68(4):509-15. doi: 10.1093/ptj/68.4.509.