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在无抗凝固疗法治疗的结性脊柱炎患者中,脊柱下体血瘤

Inka K Berglar¹, Gabriella P Williams¹, Joshua S Catapano¹

¹Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, USA.

|December 11, 2023

概括

化脊柱炎患者面临高脊柱创伤风险. 这项研究详细介绍了这些患者罕见的创伤性脊柱体体外血瘤 (SSDH) 病例,即使没有使用抗凝剂.

科学领域:

脊柱创伤脊柱创伤脊柱创伤脊柱创伤
神经外科神经外科
类风湿病学类风湿病学

背景情况:

结性脊柱炎 (AS) 患者容易因轻微伤害而导致严重的脊柱骨折,原因是与疾病相关的骨衰弱.
在这些骨折之后,可能会出现罕见的并发症,如脊柱腹腔内血瘤 (SSDH).
现有的文献经常将创伤性SSDH与抗凝固剂或抗血小板药物的使用联系起来.

研究的目的:

审查关于结性脊柱炎患者创伤性SSDH的文献.
报告两例创伤性SSDH的新病例,这些病例发生在没有服用抗凝血或抗血小板治疗的AS患者中.

主要方法:

在结性脊柱炎中创伤性SSDH的文献综述.
一系列病例描述了两个患有AS和创伤性SSDH的患者.

主要成果:

创伤性SSDH是结性脊柱炎中脊柱骨折的一个非常罕见的并发症.
在没有使用抗凝固剂或抗血小板剂的AS患者中,确定了两例创伤性SSDH病例.
这些病例代表了医学文献中以前没有报道过的情况.

结论:

结性脊柱炎患者面临复杂脊柱骨折和SSDH等罕见并发症的显著风险.
创伤性SSDH在AS患者中可能发生,即使没有使用抗凝剂或抗血小板药物.
需要进一步的研究,以了解这种患者群体中SSDH的具体机制和管理.

关键词:

结性脊柱炎是一种疾病.脊柱骨折脊柱骨折脊柱骨折脊柱骨折脊柱骨折脊柱骨折脊柱下皮质血瘤脊柱下皮质血瘤脊柱创伤是因为脊柱的创伤.皮下血腫 (subdural hematoma) 是一種皮下血腫.

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