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昏迷中的骨筋膜室综合征和压迫性神经病

Compartment syndromes and compression neuropathies in coma.

作者信息

Shields R W, Root K E, Wilbourn A J

出版信息

Neurology. 1986 Oct;36(10):1370-4. doi: 10.1212/wnl.36.10.1370.

Abstract

Eight patients are reported who developed peripheral nerve injuries due to limb compression during unattended coma. In each patient, the site of the peripheral nerve lesion or the unique combination of peripheral nerve lesions and swollen limbs, pressure blisters, or myoglobinuria indicated that compartment syndromes caused the nerve injury. The peripheral nerve injuries were characterized by severe axonal loss with persistent and often disabling sequelae.

摘要

报告了8例在无人照料的昏迷期间因肢体受压而发生周围神经损伤的患者。在每例患者中,周围神经病变的部位或周围神经病变与肢体肿胀、压力性水疱或肌红蛋白尿的独特组合表明,筋膜室综合征导致了神经损伤。周围神经损伤的特征是严重的轴突丧失,并伴有持续且常导致残疾的后遗症。

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