漏斗胸Nuss手术后的臂丛神经麻痹
Brachial plexus palsy after Nuss procedure for pectus excavatum.
作者信息
Kim Min-Wook, Jeong Jin Yong, Ha Geol, Park Soo Seog
机构信息
Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Anesthesiology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
出版信息
Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Apr 24;27(2):245-247. doi: 10.5606/tgkdc.dergisi.2019.16212. eCollection 2019 Apr.
Brachial plexus palsy rarely occurs after Nuss procedure for pectus excavatum. Brachial plexus palsy after surgery may be caused by nerve tension and compression related to surgical positioning. In this article, we report a 21-year-old male patient of brachial plexus palsy after Nuss procedure revealing a narrowing of the costoclavicular space from 7.60 mm to 2.83 mm and an increase to 4.51 mm after upper bar removal. Patient"s symptoms were fully recovered. Our results showed that narrowing of the costoclavicular space after Nuss procedure might trigger brachial plexus palsy and that brachial plexus palsy may not be related to surgical positioning.
漏斗胸Nuss手术后很少发生臂丛神经麻痹。手术后的臂丛神经麻痹可能由与手术体位相关的神经张力和压迫引起。在本文中，我们报告了一名21岁男性患者，在Nuss手术后发生臂丛神经麻痹，其肋锁间隙从7.60毫米缩小至2.83毫米，在上横杆移除后增加至4.51毫米。患者症状完全恢复。我们的结果表明，Nuss手术后肋锁间隙变窄可能引发臂丛神经麻痹，且臂丛神经麻痹可能与手术体位无关。
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