Reinstein L, Alevizatos A C, Twardzik F G, DeMarco S J
Arch Phys Med Rehabil. 1984 Jan;65(1):37-40.
In three patients receiving anticoagulation therapy who developed retroperitoneal hemorrhage computed tomography (CT) clearly localized the resulting hematoma in each case. Three distinct syndromes are described. A hemorrhage within the iliacus muscle resulted in femoral nerve dysfunction. A large hemorrhage within the iliacus muscle which extended into the psoas muscle produced both femoral and obturator nerve dysfunction. A retroperitoneal hemorrhage extrinsic to both the iliacus and psoas muscles did not produce peripheral nerve dysfunction. The pathophysiology of peripheral nerve dysfunction in retroperitoneal hemorrhage is reviewed in detail.
在3例接受抗凝治疗并发生腹膜后出血的患者中，计算机断层扫描（CT）明确显示了每例患者血肿的位置。文中描述了三种不同的综合征。髂肌内出血导致股神经功能障碍。髂肌内的大量出血蔓延至腰大肌，导致股神经和闭孔神经功能障碍。髂肌和腰大肌外的腹膜后出血未导致周围神经功能障碍。本文详细回顾了腹膜后出血中周围神经功能障碍的病理生理学。
