胸廓出口综合征（TOS）：一例漏斗胸Nuss手术后罕见并发症的病例报告。
Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum.
作者信息
Zhang Weiqiang, Pei Yingxin, Liu Keqiang, Tan Jian, Ma Jingbo, Zhao Jing
机构信息
Department of Thoracic Surgery, PLA Army General Hospital, Beijing, China.
出版信息
Medicine (Baltimore). 2018 Sep;97(36):e11846. doi: 10.1097/MD.0000000000011846.
RATIONALE
The Nuss procedure has become a major alternative operation for patients with pectus excavatum (PE).
PATIENT CONCERNS
We report a case of 27-year-old man with PE who developed thoracic outlet syndrome (TOS) after the Nuss procedure. The patient showed clinical symptoms of brachial plexus compression.
DIAGNOSES
Further evaluation demonstrated a narrowed space between the first rib and the anterior scalene muscle and compressing the brachial plexus and vessels.
INTERVENTIONS
Nerve nourishing medicine and rehabilitation exercising were taken to restore the muscle strength.
OUTCOMES
Several months later, the clinical symptoms disappeared.
LESSONS
Medicine and rehabilitation exercising may benefit the functional recovery of impaired nerve in TOS in the early stage of TOS.
理论依据
努斯手术已成为漏斗胸（PE）患者的一种主要替代手术。
患者情况
我们报告一例27岁漏斗胸男性患者，在接受努斯手术后出现胸廓出口综合征（TOS）。患者表现出臂丛神经受压的临床症状。
诊断
进一步评估显示第一肋骨与前斜角肌之间的间隙变窄，压迫臂丛神经和血管。
干预措施
采用神经营养药物和康复锻炼来恢复肌肉力量。
结果
几个月后，临床症状消失。
经验教训
药物和康复锻炼可能有利于胸廓出口综合征早期受损神经的功能恢复。
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