Schnick U, Dähne F, Tittel A, Vogel K, Vogel A, Eisenschenk A, Ekkernkamp A, Böttcher R
Schwerpunkt für rekonstruktive Chirurgie bei Plexusparese, Tetraplegie und Cerebralparese, Abteilung für Hand‑, Replantations- und Mikrochirurgie, Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Deutschland.
Klinik für Neurologie mit Stroke Unit und Frührehabilitation, Unfallkrankenhaus Berlin, Berlin, Deutschland.
Unfallchirurg. 2018 Jun;121(6):483-496. doi: 10.1007/s00113-018-0506-7.
Brachial plexus lesions mostly occur in young patients as a result of high-speed accidents. They are often diagnosed and treated after a delay. This has been shown to worsen the prognosis of surgical reconstructions evidently. In 70-80% of traumatic lesions functional reinnervation can be achieved by various surgical procedures. An early sufficient diagnosis and the subsequent referral of the patient to an appropriate competence center for consultation and, if necessary, surgery are therefore essential.
臂丛神经损伤大多发生于年轻患者，多因高速事故所致。这些损伤常常在延迟后才得到诊断和治疗。事实证明，这明显会使手术重建的预后恶化。在70%-80%的创伤性损伤中，通过各种外科手术可实现功能性再支配。因此，早期充分诊断并随后将患者转诊至合适的专业中心进行咨询，如有必要则进行手术，至关重要。
