Warfel B S, Marini S G, Lachmann E A, Nagler W
Department of Rehabilitation Medicine, New York Hospital/Cornell Medical Center, NY.
Arch Phys Med Rehabil. 1993 Nov;74(11):1211-5.
We report two cases with a delayed complication of femoral vessel catheterization: femoral nerve entrapment by iliacus hematoma. Both patients had femoral artery catheterization and postoprocedural anticoagulation, followed by iliacus hematoma eruption on the side of catheterization. Diagnosis was confirmed by computed tomography and electrodiagnostic studies. The pathogenesis of iliacus hematoma-induced femoral neuropathy has been studied in detail; however, the authors could find no previous reports of catheterization causing this phenomenon. The association is probably under reported because of the delayed manifestation. Awareness of this complication could (1) minimize the neuropathy, by insuring early diagnosis and treatment and (2) reduce its incidence, by avoiding trauma to the iliacus muscle during catheterization.
髂腰肌血肿导致股神经受压。两名患者均接受了股动脉插管及术后抗凝治疗，随后在插管侧出现髂腰肌血肿。通过计算机断层扫描和电诊断研究确诊。髂腰肌血肿所致股神经病变的发病机制已得到详细研究；然而，作者未发现此前有关于插管导致此现象的报道。这种关联可能因表现延迟而报告不足。认识到这种并发症可（1）通过确保早期诊断和治疗将神经病变降至最低，以及（2）通过避免插管过程中对髂腰肌的损伤来降低其发生率。
