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机动车碰撞导致的第一肋骨骨折和霍纳综合征：一例报告

First rib fracture and Horner's syndrome due to a motor vehicle collision: a case report.

作者信息

Demetrious James

机构信息

Private Practice, Demetrious Chiropractic Orthopedics, 4837 Carolina Beach Road, Suite 205, Wilmington, NC 28412, USA.

出版信息

Chiropr Man Therap. 2013 Jul 5;21(1):22. doi: 10.1186/2045-709X-21-22.

DOI:10.1186/2045-709X-21-22
PMID:23830309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3706228/
Abstract

A case of a first rib fracture and Horner's syndrome due to a motor vehicle collision is reported. Initial evaluation in a hospital emergency department and follow-up by a medical primary care physician failed to provide identification of the Horner's syndrome. Careful assessment and review of the patient's symptoms, signs and images revealed this uncommon and important neurologic case presentation. A brief discussion related to traumatic first rib fracture, Horner's syndrome and arterial dissections of the neck is provided.

摘要

报告了一例因机动车碰撞导致第一肋骨骨折和霍纳综合征的病例。在医院急诊科的初步评估以及由初级保健医生进行的随访均未能识别出霍纳综合征。对患者的症状、体征和影像进行仔细评估和复查后，发现了这一罕见且重要的神经系统病例表现。本文还对创伤性第一肋骨骨折、霍纳综合征和颈部动脉夹层进行了简要讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/ad6bd4549097/2045-709X-21-22-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/c61b88a5db40/2045-709X-21-22-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/f62dbd30a37d/2045-709X-21-22-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/1a98de25881c/2045-709X-21-22-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/59d547c7f35a/2045-709X-21-22-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/9dc12c9ce67d/2045-709X-21-22-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/ad6bd4549097/2045-709X-21-22-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/c61b88a5db40/2045-709X-21-22-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/f62dbd30a37d/2045-709X-21-22-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/1a98de25881c/2045-709X-21-22-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/59d547c7f35a/2045-709X-21-22-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/9dc12c9ce67d/2045-709X-21-22-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d065/3706228/ad6bd4549097/2045-709X-21-22-6.jpg

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本文引用的文献

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Adult Horner's syndrome: a combined clinical, pharmacological, and imaging algorithm.成人霍纳综合征：一种综合的临床、药理学和影像学算法。
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The hazards of being a gentleman farmer: a case of transient Horner's syndrome.绅士农民的风险：一例短暂性霍纳综合征
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Right ptosis, anhidrosis, and miosis developed in a 49-year-old man with chronic dry cough for 2 months.
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Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury.轻微头部外伤后出现孤立性头痛和霍纳综合征的颈动脉夹层。
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