Dumontier C, Sautet A, Man M, Bennani M, Apoil A
Hôpital Saint-Antoine, Paris, France.
J Hand Surg Br. 1994 Aug;19(4):427-9. doi: 10.1016/0266-7681(94)90204-6.
17 patients with haemophilia have been treated for a neurological deficit of the upper limb. Four of the five entrapment neuropathies have been operated upon, and only two patients recovered completely. Only two of the 12 patients with a compartment syndrome have been operated upon, and only two had sequelae. Clotting factor replacement is always indicated as primary treatment. Surgical release is indicated if the condition fails to improve. Late treatment was responsible for incomplete recovery, whatever the cause of the nerve compression.
17例血友病患者因上肢神经功能缺损接受了治疗。5例卡压性神经病中有4例接受了手术治疗，仅有2例患者完全康复。12例骨筋膜室综合征患者中仅有2例接受了手术治疗，且仅有2例有后遗症。凝血因子替代治疗始终作为主要治疗方法。如果病情没有改善，则需进行手术松解。无论神经受压的原因是什么，延迟治疗都会导致恢复不完全。
