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双侧自发性髂腰肌血肿相关的股神经麻痹:静脉血栓栓塞治疗的一种并发症

Femoral nerve palsy associated with bilateral spontaneous iliopsoas haematomas: a complication of venous thromboembolism therapy.

作者信息

Podger Hannah, Kent Michael

机构信息

Poole Hospital NHS Foundation Trust, Poole, Dorset BH15 2JB, UK.

出版信息

Age Ageing. 2016 Jan;45(1):175-6. doi: 10.1093/ageing/afv176.

DOI:10.1093/ageing/afv176
PMID:26764404
Abstract

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.

摘要

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。

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1
Femoral nerve palsy associated with bilateral spontaneous iliopsoas haematomas: a complication of venous thromboembolism therapy.双侧自发性髂腰肌血肿相关的股神经麻痹:静脉血栓栓塞治疗的一种并发症
Age Ageing. 2016 Jan;45(1):175-6. doi: 10.1093/ageing/afv176.
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Int J Clin Pract. 2003 Jul-Aug;57(6):553-4.
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Compressive femoral neuropathy: a rare complication of anticoagulation.股神经受压性神经病:抗凝治疗的一种罕见并发症。
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Subsequently occurring bilateral iliopsoas hematoma: a case report.随后发生的双侧髂腰肌血肿:一例报告
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[Posttraumatic hematoma of the Iliopsoas muscle with femoral nerve palsy: about a case report and review of literature].[创伤后髂腰肌血肿伴股神经麻痹:一例病例报告及文献复习]
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[Bilateral hematoma of the iliac muscle with femoral nerve palsy complicating anticoagulant therapy].
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引用本文的文献

1
Iliopsoas hematoma associated with low-molecular-weight heparin use: A case report.与使用低分子量肝素相关的髂腰肌血肿:一例报告。
SAGE Open Med Case Rep. 2020 Jun 13;8:2050313X20931680. doi: 10.1177/2050313X20931680. eCollection 2020.
2
Femoral Nerve Palsy Secondary to Iliopsoas Spontaneous Haematoma in a Patient Under Warfarin Treatment.华法林治疗患者继发于髂腰肌自发性血肿的股神经麻痹
Cureus. 2020 Apr 9;12(4):e7610. doi: 10.7759/cureus.7610.
3
Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position.
双侧股神经病变:截石位长时间摆姿导致药物过量的一种罕见并发症。
Case Rep Neurol Med. 2020 Mar 10;2020:2352850. doi: 10.1155/2020/2352850. eCollection 2020.
4
Bilateral Femoral Neuropathy Following Psoas Muscle Hematomas Caused by Enoxaparin Therapy.依诺肝素治疗引起腰大肌血肿后双侧股神经病变
Am J Case Rep. 2017 Aug 29;18:937-940. doi: 10.12659/ajcr.904975.