Podger Hannah, Kent Michael
Poole Hospital NHS Foundation Trust, Poole, Dorset BH15 2JB, UK.
Age Ageing. 2016 Jan;45(1):175-6. doi: 10.1093/ageing/afv176.
We report a case of femoral nerve palsy occurring as a result of spontaneous bilateral iliopsoas haematomas in an elderly patient on treatment dose dalteparin for a suspected pulmonary embolus. There are limited case reports in the literature relating to this rare problem, and their management is controversial. We advocate non-operative treatment in the instance of a delayed presentation in a frail elderly patient with a subsequent good functional outcome.
我们报告一例老年患者在接受治疗剂量的达肝素治疗疑似肺栓塞时,因自发性双侧髂腰肌血肿导致股神经麻痹的病例。关于这个罕见问题的文献报道有限,其治疗方法存在争议。对于体弱老年患者出现延迟就诊且随后功能恢复良好的情况,我们主张采取非手术治疗。