Oklahoma Children's Hospital with OU Health, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma.
JBJS Case Connect. 2022 Jul 13;12(3). doi: e22.00132. eCollection 2022 Jul 1.
A 29-week-old gestational age neonate born by emergent cesarean delivery was found to have a circumferential upper arm amniotic constriction band. Initial removal of the amniotic band at the time of delivery uncovered a circumferential skin band with profound venous obstruction but preserved Doppler arterial flow. Emergent excision of the constricted skin band with fasciotomies of the arm and forearm was performed shortly after birth to preserve the extremity.
This report outlines a visualized constriction band at the time of delivery causing neurovascular compromise to an extremity of a neonate. Prompt intervention ensued preserving both form and function with an excellent 2-year follow-up.
一名 29 周大的早产儿经紧急剖宫产分娩，发现其左上臂有环状羊膜束带。分娩时初步去除羊膜束带后，发现有环状皮肤带，伴有严重的静脉阻塞，但多普勒动脉血流仍保留。出生后立即进行受约束的皮肤带切除和手臂及前臂的筋膜切开术，以保留肢体。
本报告概述了分娩时可视化的束带导致新生儿肢体的神经血管受到影响。及时的干预措施随后进行，保留了肢体的形态和功能，在 2 年的随访中取得了极好的效果。
