Nedbal M, Gargantini G, Frattini D, Mazzola G, Perletti L
Divisione di Pediatria, Ospedale Vizzolo Predabissi di Milano, Italia.
Pediatr Med Chir. 1995 May-Jun;17(3):261-3.
Authors report a paediatric patient with thoracic outlet syndrome (TOC) and complete cervical rib. The symptoms at the time of presentation result from pressure on either the subclavian vessels or the lower trunk of the brachial plexus. TOC is infrequent in young people and usually the symptomatology does'nt need a surgical approach. Some Authors affirm that there are necessary impulsive moments like growth, increased muscular mass and rib ossification, decreased elasticity of ligaments, vessels, muscles and nerves, for outcoming the clinical manifestations. Paediatric competention has risen until adolescent age and may be more frequent the observation of this syndrome that present problems of both diagnosis and management.
作者报告了一名患有胸廓出口综合征(TOC)和完整颈肋的儿科患者。就诊时的症状是由锁骨下血管或臂丛神经下干受压引起的。TOC在年轻人中并不常见,通常其症状不需要手术治疗。一些作者认为,出现临床表现需要一些促发因素,如生长、肌肉量增加和肋骨骨化、韧带、血管、肌肉和神经弹性降低。儿科诊疗能力在青少年时期有所提高,可能会更频繁地观察到这种在诊断和治疗方面都存在问题的综合征。