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截瘫患者中异位骨化模拟深静脉血栓形成导致腿部肿胀。

Leg Swelling Caused by Heterotopic Ossification Mimicking Deep Vein Thrombosis in a Paraplegic Patient.

作者信息

Bang Jin Hyuk, Cho Keun-Tae, Lee Ho Jun

机构信息

Department of Neurosurgery, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Department of Rehabilitation Medicine, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

出版信息

Korean J Neurotrauma. 2015 Oct;11(2):158-61. doi: 10.13004/kjnt.2015.11.2.158. Epub 2015 Oct 31.

DOI:10.13004/kjnt.2015.11.2.158
PMID:27169085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4847498/
Abstract

Leg swelling in patients with paraplegia due to spinal cord injury (SCI) occurs for various reasons, including heterotopic ossification (HO), deep vein thrombosis (DVT), fracture, or cellulitis. The clinical presentations of these conditions may overlap in part or in whole and it may occasionally be difficult to distinguish. Of these conditions, DVT and subsequent pulmonary embolism remain significant causes of morbidity and mortality in patients with SCI. Therefore, a prompt diagnostic work-up, particularly for DVT, is essential in patients with SCI, who present with leg swelling. Here, we report a case of leg swelling in a paraplegic patient, resulting from HO mimicking DVT and discuss the differential diagnosis.

摘要

脊髓损伤（SCI）导致截瘫患者出现腿部肿胀的原因多种多样，包括异位骨化（HO）、深静脉血栓形成（DVT）、骨折或蜂窝织炎。这些病症的临床表现可能部分或全部重叠，有时可能难以区分。在这些病症中，DVT及随后的肺栓塞仍然是SCI患者发病和死亡的重要原因。因此，对于出现腿部肿胀的SCI患者，进行及时的诊断检查，尤其是针对DVT的检查至关重要。在此，我们报告一例截瘫患者因HO酷似DVT而导致腿部肿胀的病例，并讨论鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0986/4847498/a2ec3eb2a4bf/kjn-11-158-g001.jpg

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