Casoni P, Dalla Valle R
Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo, Università degli Studi di Parma.
Acta Biomed Ateneo Parmense. 1994;65(5-6):289-96.
With increased use of anticoagulant agents, femoral neuropathy subsequent to spontaneous hemorrhage within the ileo-psoas muscle has become a serious and more frequent clinical problem. The authors describe one case of femoral neuropathy from iliac muscle hematoma during heparin administration. The successful surgical treatment by decompression and drainage is reported. The anatomical and CT scanning features with the suspected pathogenesis are emphasized, as well as the role of early diagnosis in the assessment of prognosis and for successful operative decompression.
随着抗凝剂使用的增加,髂腰肌内自发性出血继发股神经病变已成为一个严重且更为常见的临床问题。作者描述了1例在使用肝素期间因髂肌血肿导致股神经病变的病例。报告了通过减压和引流进行成功手术治疗的情况。强调了疑似发病机制的解剖学和CT扫描特征,以及早期诊断在评估预后和成功进行手术减压方面的作用。