一名儿童电击伤后出现腕管综合征。
Carpal tunnel syndrome following an electrical injury in a child.
作者信息
Anand Sambandam, Findlay Alice Rima, Anand Geetha
机构信息
Department of Orthopaedics, Oxford University Hospitals NHS Trust, Banbury, UK.
Department of Paediatrics, Oxford University Hospitals NHS Trust, Oxford, UK.
出版信息
BMJ Case Rep. 2015 Mar 2;2015:bcr2014208092. doi: 10.1136/bcr-2014-208092.
Carpal tunnel syndrome (CTS) is very rare in children and has been reported very infrequently in the literature. We present an unusual case of CTS in a 14-year-old girl who developed this following an accidental electrical shock. As far as we are aware, this is the first case report of CTS in a child following electrical injury. This rare complication of electrical injury can easily be disregarded or misdiagnosed as neuropraxia, and this can delay appropriate treatment, as evidenced by this case. We propose that CTS should be considered when instigating initial medical care after an electrical injury, and that a referral to a hand surgeon should not be delayed, as these children need urgent surgical intervention to preserve hand function.
腕管综合征（CTS）在儿童中非常罕见，文献报道也极为少见。我们报告了一例不寻常的病例，一名14岁女孩在意外触电后患上了CTS。据我们所知，这是首例儿童触电后发生CTS的病例报告。这种电损伤的罕见并发症很容易被忽视或误诊为神经失用症，如此例所示，这可能会延误适当的治疗。我们建议，在电损伤后进行初始医疗护理时应考虑到CTS，并且不应延迟转诊至手外科医生，因为这些儿童需要紧急手术干预以保留手部功能。
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