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口服抗凝治疗处于最佳范围的患者在轻微创伤后发生手臂急性骨筋膜室综合征:一例报告

Acute compartment syndrome of the arm after minor trauma in a patient with optimal range of oral anticoagulant therapy: a case report.

作者信息

Titolo Paolo, Milani Patrizia, Panero Bernardino, Ciclamini Davide, Colzani Giulia, Artiaco Stefano

机构信息

Department of Orthopaedics, Traumatology and Rehabilitation, AO Città della Salute e della Scienza, Orthopaedic and Trauma Center, Via Zuretti 29, 10126 Turin, Italy.

出版信息

Case Rep Orthop. 2014;2014:980940. doi: 10.1155/2014/980940. Epub 2014 Jan 6.

DOI:10.1155/2014/980940
PMID:24516765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3912892/
Abstract

Compartment syndrome of the arm is a rare event that can be subsequent to trauma or other pathological and physical conditions. At the arm the thin and elastic fascia may allow accumulation of blood more than in other districts, especially in patients undergoing anticoagulant therapy. We describe a rare case of an acute compartment syndrome of the arm after minor trauma with partial biceps brachii rupture in a patient with warfarin therapy and optimal value of INR. Prompt diagnosis and surgical decompression helped to avoid the occurrence of complications with a satisfying recovery of arm function.

摘要

手臂骨筋膜室综合征是一种罕见的情况,可继发于创伤或其他病理及身体状况之后。在手臂,薄而有弹性的筋膜可能比其他部位更易积聚血液,尤其是在接受抗凝治疗的患者中。我们描述了一例罕见病例,一名正在接受华法林治疗且国际标准化比值(INR)处于最佳值的患者,在轻微创伤伴肱二头肌部分断裂后发生了急性手臂骨筋膜室综合征。及时诊断并进行手术减压有助于避免并发症的发生,手臂功能恢复良好。

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