登革热患者的急性压迫性尺神经病变：一种不寻常的表现
Acute Compressive Ulnar Neuropathy In A Patient Of Dengue Fever: An Unusual Presentation.
作者信息
Mehtani Anil K, Jha Ashutosh, Kataria Himanshu, Jangira Vivek, Shukla Ajay
机构信息
Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
Dept of Orthopaedics, Dr RML Hospital New Delhi, India.
出版信息
J Orthop Case Rep. 2013 Apr-Jun;3(2):25-8. doi: 10.13107/jocr.2250-0685.097.
INTRODUCTION
Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this.
CASE REPORT
We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms.
CONCLUSION
Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms.
引言
登革出血热以其出血和神经并发症而闻名。神经并发症由三种机制引起，即嗜神经性、导致脑病的全身并发症和感染后免疫介导机制。然而，出血引起的急性压迫性神经病变并不常见，我们未找到描述此类情况的文献。
病例报告
我们报告一例登革出血热合并血小板减少症患者，在肘窝进行静脉插管尝试后，因神经周围血肿导致急性压迫性尺神经病变。立即进行了筋膜切开术并清除血肿以缓解症状。
结论
登革出血热中可见压迫性神经病变，清除压迫性血肿可缓解症状。
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