在儿童中出现前臂腔综合征的非典型表现
P A Saxena1, M Veylamuthen1, L Kitsi2
1Queens Hospital Burton, Department of Trauma & Orthopaedics, University Hospitals of Derby & Burton NHS Foundation Trust, Belvedere Road, Burton-on-Trent DE13 0RB, United Kingdom.
Trauma case reports
|June 10, 2025
概括
儿童的分区综合征很少见,难以诊断. 一个8岁的女孩的早期带切除和减压带来了不典型的表现,导致了有利的结果,强调了及时干预的重要性.
科学领域:
- 儿科整形外科 儿科整形外科
- 创伤外科 手术 创伤外科
- 手术重症监护手术重症监护
背景情况:
- 隔间综合征 (CS) 在儿童中不常见,并带来诊断挑战.
- 推迟或非典型的儿科CS管理与患者的不良结果有关.
- 这个案例突出了一个8岁的女孩,她的CS呈现不寻常.
研究的目的:
- 报告一个8岁女孩患有非典型的隔间综合征的病例.
- 讨论这种罕见的儿科疾病的管理和结果.
- 强调高临床怀疑CS在儿童中的重要性.
主要方法:
- 一个8岁的女性患有开放的半径和肘骨折的病例报告,用弹性钉子系统 (TENS) 进行治疗.
- 在受伤2周后,根据临床表现,包括疼痛,手指曲和动荡,诊断出CS.
- 进行了紧急前臂筋切割和手腕道减压.
主要成果:
- 在筋切割和减压后,患者经历了症状改善.
- 断层切除术伤口在72小时后被关闭,临床状况继续改善.
- 前臂骨折的放射性结合是在受伤9周后实现的.
- 8个月后,运动功能完全恢复,中间神经有剩余的感觉缺陷.
结论:
- 儿童的隔间综合征需要高度的怀疑指数.
- 建议的"3A"三位一体,与经典的"5P"一起,有助于儿童CS诊断.
- 即使在非典型或延迟的CS病例中,也可以在适当的管理下实现有利的长期结果.
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