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电烧伤所致的胸长神经损伤

Long thoracic nerve injury due to an electric burn.

作者信息

Still J M, Law E J, Duncan J W, Hughes H F

机构信息

Augusta Regional Medical Center, GA 30909, USA.

出版信息

J Burn Care Rehabil. 1996 Nov-Dec;17(6 Pt 1):562-4. doi: 10.1097/00004630-199611000-00015.

DOI:10.1097/00004630-199611000-00015
PMID:8951546
Abstract

A 19-year-old white man was burned over 7.5% of his body when he sustained an electric injury from a transformer. There was no associated fall or loss of consciousness. Debridement and grafting were required. The patient had some transient weakness of the muscles of his right arm associated with lower cervical nerve-root injury. This subsequently improved. He also was found to have paralysis of the serratus anterior muscle, with winging of the scapula due to long thoracic nerve injury. This has not improved. A surgical procedure suggested to improve function of the shoulder was rejected by the patient. This is only the second case reported of long thoracic nerve injury due to an electric burn of which we are aware.

摘要

一名19岁白人男性因接触变压器遭受电击伤,身体7.5%的面积被烧伤。无相关跌倒或意识丧失情况。需要进行清创和植皮手术。患者右臂肌肉出现一些短暂性无力,与下颈神经根损伤有关,随后有所改善。他还被发现患有前锯肌麻痹,因胸长神经损伤导致肩胛骨翼状畸形,此情况未改善。一种旨在改善肩部功能的外科手术建议被患者拒绝。这是我们所知的第二例因电烧伤导致胸长神经损伤的报告病例。

相似文献

1
Long thoracic nerve injury due to an electric burn.电烧伤所致的胸长神经损伤
J Burn Care Rehabil. 1996 Nov-Dec;17(6 Pt 1):562-4. doi: 10.1097/00004630-199611000-00015.
2
Scapular Winging Caused by Combined Palsy of the Spinal Accessory Nerve and the Long Thoracic Nerve: A Case Report.副神经与胸长神经联合麻痹导致的肩胛翼状肩:一例报告
JBJS Case Connect. 2017 Apr-Jun;7(2):e23. doi: 10.2106/JBJS.CC.16.00162.
3
Surgical treatment of a long thoracic nerve palsy.长胸神经麻痹的外科治疗
Ann Thorac Surg. 2002 May;73(5):1643-5. doi: 10.1016/s0003-4975(01)03372-0.
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[The bilateral long thoracic nerve palsy presenting with "scapula alata", as a result of weight training. A case report].[因负重训练导致双侧长胸神经麻痹伴“翼状肩胛”。病例报告]
Rinsho Shinkeigaku. 2005 Apr;45(4):308-11.
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Long thoracic nerve injury.胸长神经损伤。
Clin Orthop Relat Res. 1999 Nov(368):17-27.
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Pectoralis major transfer for serratus anterior paralysis.胸大肌转移术治疗前锯肌麻痹。
J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):555-60. doi: 10.1016/s1058-2746(03)00174-5.
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Scapula winging in a sports injury clinic.运动损伤诊所中的肩胛翼状畸形
Br J Sports Med. 1993 Jun;27(2):90-1. doi: 10.1136/bjsm.27.2.90.
8
Winged scapula in the emergency department: a case report and review.急诊科的翼状肩胛:一例病例报告及文献复习
J Emerg Med. 2005 Oct;29(3):279-82. doi: 10.1016/j.jemermed.2005.01.026.
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Supraclavicular long thoracic nerve decompression for traumatic scapular winging.锁骨上长胸神经减压术治疗创伤性肩胛翼状畸形
J Surg Orthop Adv. 2013 Fall;22(3):219-23. doi: 10.3113/jsoa.2013.0219.
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A 4-year-old boy with post-traumatic winging of the scapula.一名4岁患有创伤后肩胛翼状畸形的男孩。
BMJ Case Rep. 2011 Mar 10;2011:bcr1220103567. doi: 10.1136/bcr.12.2010.3567.

引用本文的文献

1
Isolated long thoracic nerve paralysis - a rare complication of anterior spinal surgery: a case report.孤立性胸长神经麻痹——脊柱前路手术的一种罕见并发症:病例报告
J Med Case Rep. 2009 Jun 23;3:7366. doi: 10.4076/1752-1947-3-7366.