与体外膜肺氧合相关的臂丛神经损伤
Brachial plexus injury associated with extracorporeal membrane oxygenation.
作者信息
Mittal Manoj K, Schears Gregory J, Wijdicks Eelco F
机构信息
Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
出版信息
J Clin Neuromuscul Dis. 2013 Sep;15(1):24-7. doi: 10.1097/CND.0b013e3182a04634.
INTRODUCTION
Extracorporeal membrane oxygenation (ECMO) is a cardiopulmonary support system. We present 2 patients of ECMO-related brachial plexus injury.
METHODS
Patients were selected from a registry of 154 patients treated with ECMO from January 2002 to September 2011.
RESULTS
Five patients had unilateral arm weakness after the initiation of ECMO therapy. There was no neurological examination or electrophysiological testing data available for 3 patients. Diagnosis of brachial plexus injury was confirmed in 2 patients, one based on neurological examination and one based on electrophysiological testing.
DISCUSSION
Axillary artery cannulation resulting in hematoma formation was identified as a probable risk factor for brachial plexus injury in our 2 patients.
引言
体外膜肺氧合（ECMO）是一种心肺支持系统。我们报告2例与ECMO相关的臂丛神经损伤患者。
方法
患者选自2002年1月至2011年9月接受ECMO治疗的154例患者的登记资料。
结果
5例患者在开始ECMO治疗后出现单侧手臂无力。3例患者没有神经学检查或电生理测试数据。2例患者确诊为臂丛神经损伤，1例基于神经学检查，1例基于电生理测试。
讨论
在我们的2例患者中，腋动脉插管导致血肿形成被确定为臂丛神经损伤的一个可能危险因素。
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