Sugimoto Atsuhiko, Iwamoto Jotaro, Tsumuraya Naoko, Nagaoka Masakazu, Ikari Yuji
Department of Cardiology, Ebina General Hospital, 1320 Kawaraguchi, Ebina, Kanagawa, Japan.
Division of Cardiology, Department of Internal Medicine, Tokai University School of Medicine, 143, Shimokasuya, Isehara, Kanagawa, Japan.
Cardiovasc Interv Ther. 2016 Apr;31(2):147-50. doi: 10.1007/s12928-015-0328-2. Epub 2015 Apr 9.
A 59-year-old female with angina pectoris successfully underwent percutaneous coronary intervention via the right radial artery. She complained of right forearm pain and numbness 4.5 h after the procedure. Though the swelling in her right arm seemed relatively mild, pressure measurement showed significant increase of internal forearm pressure. She developed acute compartment syndrome in the right forearm, and fasciotomy was performed immediately. The weight of subcutaneous hematoma in her right arm was approximately 100 g. Symptoms of paralysis and the impairment of perception remained for some time, but had completely recovered 4 months post-surgery.
一名59岁的心绞痛女性患者成功通过右桡动脉进行了经皮冠状动脉介入治疗。术后4.5小时，她主诉右前臂疼痛和麻木。尽管她右臂的肿胀似乎相对较轻，但压力测量显示前臂内部压力显著升高。她出现了右前臂急性骨筋膜室综合征，并立即进行了筋膜切开术。她右臂皮下血肿的重量约为100克。瘫痪和感觉障碍症状持续了一段时间，但术后4个月已完全恢复。
