Hudson D A, Boome R, Sanpera I
Hand Unit, Groote Schuur Hospital, Cape Town, South Africa.
J Hand Surg Am. 1993 Mar;18(2):282-4. doi: 10.1016/0363-5023(93)90362-7.
Serious brachial plexus injury after median sternotomy is uncommon. However, affected patients experience considerable morbidity and their return to regular employment is often delayed. The pathogenesis of the injury is multifactorial. Wide sternal retraction is the major etiologic factor. Management is primarily conservative and should be guided by a team experienced in upper limb and hand surgery. Our experience at a major referral center during a 3-year period is described.
正中胸骨切开术后发生严重臂丛神经损伤并不常见。然而，受影响的患者会出现相当大的发病率，而且他们恢复正常工作往往会延迟。损伤的发病机制是多因素的。广泛的胸骨牵开是主要病因。治疗主要是保守治疗，应由在上肢和手部手术方面经验丰富的团队指导。本文描述了一家大型转诊中心在3年期间的经验。
