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两例与间歇性气压治疗相关的小儿腓总神经麻痹

Two Cases of Pediatric Common Peroneal Nerve Palsy Associated With Intermittent Pneumatic Compression.

作者信息

Urata Hiroaki, Aoki Kazunori, Sakihama Hiroshi, Kurosawa Hiroshi

机构信息

Department of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital, Kobe, JPN.

出版信息

Cureus. 2025 Feb 6;17(2):e78650. doi: 10.7759/cureus.78650. eCollection 2025 Feb.

Abstract

Common peroneal nerve palsy occurs as a result of compression of the fibular head and has been reported in adults as a complication of intermittent pneumatic compression (IPC), but not in children. In this report, we present two cases of common peroneal nerve palsy. The first occurred in a 13-year-old girl with sepsis and the second in a 12-year-old boy who underwent vocal cord fixation. In both cases, we suspected the involvement of the IPC performed to prevent venous thromboembolism (VTE) during pediatric intensive care unit admission. It is crucial to ensure proper sizing and fitting of the IPC devices to avoid covering the fibular head and apply appropriate decompression. Moreover, recognizing risk factors, such as body position and thinness, is essential for understanding the onset of common peroneal nerve palsy.

摘要

腓总神经麻痹是由于腓骨头受压所致,在成人中,它被报道为间歇性气压治疗(IPC)的一种并发症,但在儿童中未见报道。在本报告中,我们呈现了两例腓总神经麻痹病例。第一例发生在一名患有败血症的13岁女孩身上,第二例发生在一名接受声带固定术的12岁男孩身上。在这两例病例中,我们怀疑在儿科重症监护病房住院期间为预防静脉血栓栓塞(VTE)而进行的IPC治疗与之有关。确保IPC设备尺寸合适并正确安装以避免覆盖腓骨头,并进行适当的减压至关重要。此外,识别诸如身体姿势和消瘦等风险因素对于理解腓总神经麻痹的发病机制至关重要。

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