新生儿前臂间隔综合征继发于宫内头臂动脉血栓形成：一例报告。
Neonatal Forearm Compartment Syndrome Secondary to Intrauterine Brachiocephalic Arterial Thrombosis: A Case Report.
机构信息
Department of Orthopaedic Surgery, Carilion Clinic, Roanoke, Virginia.
Virginia Tech Carilion School of Medicine, Roanoke, Virginia.
出版信息
JBJS Case Connect. 2021 Mar 5;11(1):01709767-202103000-00041. doi: e20.00207.
CASE
A newborn presented with necrotic skin lesions and contractures of the right upper extremity. Ultrasonography indicated the presence of a brachiocephalic artery thrombosis, and clinical examination demonstrated a neonatal forearm compartment syndrome. Surgical treatment included decompressive fasciotomy of the right forearm. The right-sided brachiocephalic thrombosis resulted in left hemiplegic cerebral palsy. At the 3-year follow-up, the patient had near-normal function of the right upper extremity. This case has detailed preoperative video and follow-up to illustrate this rare but modifiable condition.
CONCLUSION
This case demonstrates a unique cause of neonatal forearm compartment syndrome (brachiocephalic arterial thrombosis) and the results of prompt surgical treatment.
病例
一名新生儿出现右上肢坏死性皮肤损伤和挛缩。超声检查提示头臂动脉血栓形成，临床检查显示新生儿前臂间隔综合征。手术治疗包括右前臂减压筋膜切开术。右侧头臂动脉血栓形成导致左侧偏瘫脑瘫。在 3 年的随访中，患者的右上肢功能接近正常。本病例有详细的术前视频和随访资料，可阐明这种罕见但可治疗的疾病。
结论
本病例展示了一种独特的新生儿前臂间隔综合征（头臂动脉血栓形成）的病因和及时手术治疗的结果。
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