Shah A, Asirvatham R
King Faisal Specialist Hospital, Riyadh, Saudi Arabia.
J Bone Joint Surg Br. 1994 Mar;76(2):274-7.
We reviewed retrospectively 94 patients who had undergone soft-tissue release to correct flexion contracture of the knee to determine the incidence of postoperative hypertension. The cause of contracture in most patients was cerebral palsy (45) or old poliomyelitis (39). Twenty patients developed persistent hypertension. Two of them were symptomatic, one developing hypertensive encephalopathy. Patients who had had poliomyelitis were at a higher risk than those with cerebral palsy; the risk increased with bilateral procedures. The amount of correction achieved had no influence on the incidence of hypertension.
我们回顾性研究了94例接受软组织松解术以纠正膝关节屈曲挛缩的患者，以确定术后高血压的发生率。大多数患者挛缩的原因是脑瘫（45例）或陈旧性脊髓灰质炎（39例）。20例患者出现持续性高血压。其中2例有症状，1例发生高血压脑病。患有脊髓灰质炎的患者比患有脑瘫的患者风险更高；双侧手术时风险增加。矫正程度对高血压的发生率没有影响。
