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抗凝治疗并发髂腰肌血肿导致双侧股神经受压。

Bilateral femoral nerve compression by iliacus hematomas complicating anticoagulant therapy.

作者信息

Jamjoom Z A, al-Bakry A, al-Momen A, Malabary T, Tahan A R, Yacub B

机构信息

Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Surg Today. 1993;23(6):535-40. doi: 10.1007/BF00730631.

DOI:10.1007/BF00730631
PMID:8358198
Abstract

An unusual case of bilateral femoral nerve compression caused by iliacus hematomas in a patient on anticoagulant therapy is herein reported with special reference to the comparative diagnostic value of ultrasonography, computerized tomorgraphy, and magnetic resonance imaging. The importance of early surgical decompression is also emphasized.

摘要

本文报道了一例使用抗凝治疗的患者因髂腰肌血肿导致双侧股神经受压的罕见病例,并特别提及超声、计算机断层扫描和磁共振成像的比较诊断价值。同时强调了早期手术减压的重要性。

相似文献

1
Bilateral femoral nerve compression by iliacus hematomas complicating anticoagulant therapy.抗凝治疗并发髂腰肌血肿导致双侧股神经受压。
Surg Today. 1993;23(6):535-40. doi: 10.1007/BF00730631.
2
Bilateral iliacus haematoma with femoral nerve palsy complicating anticoagulant therapy.双侧髂腰肌血肿伴股神经麻痹,为抗凝治疗的并发症。
Acta Chir Scand. 1978;144(3):181-3.
3
[Femoral neuropathy due to a spontaneous hematoma of the iliopsoas muscle during therapy with heparin-calcium].[肝素钙治疗期间因髂腰肌自发性血肿导致的股神经病变]
Acta Biomed Ateneo Parmense. 1994;65(5-6):289-96.
4
Urologic manifestations of the iliacus hematoma syndrome.髂腰肌血肿综合征的泌尿系统表现。
J Urol. 1979 Aug;122(2):272-5. doi: 10.1016/s0022-5347(17)56363-6.
5
Femoral neuropathy secondary to anticoagulant therapy.抗凝治疗继发的股神经病变
Int Surg. 1980 May-Jun;65(3):279-81.
6
Femoral neuropathy and retroperitoneal hemorrhage.股神经病变与腹膜后出血。
Neurosurgery. 1983 Jul;13(1):44-7. doi: 10.1227/00006123-198307000-00008.
7
Warfarin-induced iliopsoas hemorrhage with subsequent femoral nerve palsy.华法林诱发的髂腰肌出血并继发股神经麻痹。
Ann Emerg Med. 1985 Apr;14(4):362-4. doi: 10.1016/s0196-0644(85)80106-2.
8
Anticoagulants, iliopsoas hematoma and femoral nerve compression.抗凝剂、髂腰肌血肿与股神经受压
Am Fam Physician. 1991 Dec;44(6):2100-2.
9
Retroperitoneal hematoma associated with femoral neuropathy: a complication under antiplatelets therapy.与股神经病变相关的腹膜后血肿:抗血小板治疗中的一种并发症。
Acta Med Okayama. 2001 Dec;55(6):363-6. doi: 10.18926/AMO/31998.
10
Iliacus hematoma syndrome.髂肌血肿综合征
Can Med Assoc J. 1975 Apr 5;112(7):872-3.

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Successful selective arterial embolization in a patient with iliacus muscle hematoma and femoral neuropathy: A case report.髂腰肌血肿合并股神经病变患者成功实施选择性动脉栓塞术:一例报告
Medicine (Baltimore). 2025 Apr 25;104(17):e42097. doi: 10.1097/MD.0000000000042097.
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More than what meets the eye in COVID-19 critical illness: A case report of bilateral femoral neuropathy due to psoas hematomas.COVID-19 危重症中所见之外:双侧股神经病变,源于腰大肌血肿:病例报告。
Neurosciences (Riyadh). 2024 May;29(2):133-138. doi: 10.17712/nsj.2024.2.20230072.
3
Ultrasound-Guided Thrombin Injection for Iliopsoas Pseudoaneurysm.

本文引用的文献

1
Computerized tomography and surgical treatment of femoral compression neuropathy. Report of two cases.股骨压迫性神经病变的计算机断层扫描与手术治疗。两例报告。
J Neurosurg. 1982 Jul;57(1):137-9. doi: 10.3171/jns.1982.57.1.0137.
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Femoral neuropathy caused by iliacus hematoma.髂腰肌血肿导致的股神经病变
Surg Neurol. 1983 Sep;20(3):254-7. doi: 10.1016/0090-3019(83)90063-0.
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Femoral neuropathy and retroperitoneal hemorrhage.股神经病变与腹膜后出血。
超声引导下凝血酶注射治疗髂腰肌假性动脉瘤
J Pediatr Intensive Care. 2019 Sep;8(3):187-190. doi: 10.1055/s-0039-1683385. Epub 2019 Mar 5.
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Delayed iliacus compartment syndrome following femoral artery puncture: case report and literature review.股动脉穿刺后迟发性髂筋膜室综合征:病例报告及文献复习
J Surg Case Rep. 2016 Jun 6;2016(6):rjw102. doi: 10.1093/jscr/rjw102.
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Femoral Nerve Palsy due to Anticoagulant Induced Retroperitoneal Hematoma.抗凝剂诱发腹膜后血肿导致的股神经麻痹
Case Rep Med. 2014;2014:450750. doi: 10.1155/2014/450750. Epub 2014 Oct 16.
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Bilateral psoas haematomata complicating renal transplantation.双侧腰大肌血肿并发肾移植
Surg Res Pract. 2014;2014:678979. doi: 10.1155/2014/678979. Epub 2014 Jan 2.
7
A young male presented with acute inguinal pain, bilateral quadriceps weakness and hyperesthesia of anterior thighs post-thrombolysis for acute myocardial infarction.一名年轻男性在急性心肌梗死溶栓治疗后出现急性腹股沟疼痛、双侧股四头肌无力及大腿前部感觉过敏。
Ann Saudi Med. 2014 May-Jun;34(3):265-6, 3p following 266. doi: 10.5144/0256-4947.2014.265.
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Bilateral iliopsoas hematoma: Case report and literature review.双侧髂腰肌血肿:病例报告及文献综述
Surg Neurol Int. 2013 Sep 20;4:121. doi: 10.4103/2152-7806.118561. eCollection 2013.
9
Subperiosteal hematoma of the iliac bone: imaging features of acute and chronic stages with emphasis on pathophysiology.髂骨骨膜下血肿:急性和慢性阶段的影像学特征,重点介绍发病机制。
Skeletal Radiol. 2012 Jun;41(6):667-75. doi: 10.1007/s00256-011-1267-3. Epub 2011 Sep 14.
10
73-Year-old woman with anterior thigh pain.73岁女性,大腿前侧疼痛。
Mayo Clin Proc. 2011 Apr;86(4):e21-4. doi: 10.4065/mcp.2010.0306.
Neurosurgery. 1983 Jul;13(1):44-7. doi: 10.1227/00006123-198307000-00008.
4
Psoas compartment disease studied by computed tomography. Analysis of 50 cases and subject review.通过计算机断层扫描研究腰大肌间隙疾病。50例病例分析及文献复习。
Radiology. 1983 Aug;148(2):505-12. doi: 10.1148/radiology.148.2.6867350.
5
Soft-tissue hemorrhage in hemophiliac patients. Computed tomography and ultrasound study.血友病患者的软组织出血。计算机断层扫描和超声研究。
Radiology. 1983 Jun;147(3):811-4. doi: 10.1148/radiology.147.3.6844618.
6
Compressive neuropathy as a complication of anticoagulant therapy.压迫性神经病变作为抗凝治疗的一种并发症。
Neurosurgery. 1983 Mar;12(3):268-71. doi: 10.1227/00006123-198303000-00003.
7
Familial warfarin resistance.家族性华法林抵抗。
Drug Intell Clin Pharm. 1983 Apr;17(4):281-3. doi: 10.1177/106002808301700409.
8
Warfarin resistance with nafcillin therapy.萘夫西林治疗导致的华法林抵抗。
Ann Intern Med. 1984 Apr;100(4):527-9. doi: 10.7326/0003-4819-100-4-527.
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Myocardial infarction after diet-induced warfarin resistance.饮食诱导的华法林抵抗后发生心肌梗死
Arch Intern Med. 1984 Oct;144(10):2089-90.
10
Femoral nerve dysfunction after retroperitoneal hemorrhage: pathophysiology revealed by computed tomography.腹膜后出血后股神经功能障碍:计算机断层扫描揭示的病理生理学
Arch Phys Med Rehabil. 1984 Jan;65(1):37-40.