骨骼肌梗死的血供分类及多样临床表现
Blood supply classification and varied clinical manifestations of skeletal muscle infarction.
作者信息
Lai Ya-Wei, Lee Su-Shin, Chang Kao-Ping, Huang Shu-Hung, Lin Yu-Nan, Lin Sin-Daw, Lai Chung-Sheng
机构信息
From the Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
出版信息
Ann Plast Surg. 2015 May;74 Suppl 2:S109-12. doi: 10.1097/SAP.0000000000000461.
BACKGROUND
Muscle infarction is a rare complication of spontaneous ischemic necrosis occurring in skeletal muscle. It is particularly common in patients with diabetes who have impaired sugar regulation. However, muscle infarction is frequently misdiagnosed due to varied clinical manifestations.
METHODS
We presented 3 cases of muscle infarction reported during April 2009 to April 2014. After a comprehensive literature review, we selected 147 muscle infarction cases from the literature, first investigating the relationships between type of muscle blood supply and infarcted muscle.
RESULTS
The result indicated that muscle infarction 25.85% belonged to type I vascular supply and 61.21% belonged to type II vascular supply, according to the definition by Mathes and Nahai.
CONCLUSIONS
Poor glucose regulation, intense exercise without adequate hydration, vascular disease, and type I and II muscular blood supply were critical predisposing factors. For preventing muscle infarction, we recommend strict glucose regulation and a gradual increase in exercise with adequate hydration.
背景
肌肉梗死是骨骼肌自发性缺血坏死的一种罕见并发症。在糖调节受损的糖尿病患者中尤为常见。然而，由于临床表现多样，肌肉梗死常被误诊。
方法
我们报告了2009年4月至2014年4月期间3例肌肉梗死病例。在全面回顾文献后，我们从文献中选取了147例肌肉梗死病例，首先研究肌肉血液供应类型与梗死肌肉之间的关系。
结果
根据Mathes和Nahai的定义，结果表明25.85%的肌肉梗死属于I型血管供应，61.21%属于II型血管供应。
结论
血糖调节不佳、剧烈运动且补水不足、血管疾病以及I型和II型肌肉血液供应是关键的诱发因素。为预防肌肉梗死，我们建议严格控制血糖，并在充分补水的情况下逐渐增加运动量。
Zotero 插件