跌落足后二尖瓣置换术及法洛四联症的完全矫正2例报告

D. Poerwandari, Daisy F Lapasi, M. BayuAji
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摘要

背景:报道了心脏手术后周围神经病变,包括臂丛神经、膈神经、喉返神经、面神经、腰骶神经根和脊髓。心脏手术后腓共神经损伤的发生率报道不多(0.19%)。周围神经病变的诊断程序包括临床体征和症状、电生理检查和MRI检查。周围神经病变的康复管理不仅包括疼痛和神经刺激的管理,还包括心脏问题引起的心脏康复之外的助行管理。方法:报告2例心脏手术后周围神经损伤。首例患者为女性,37岁,机械二尖瓣置换术后2天出现坠足。除心脏康复外,她还接受了疼痛管理、神经电刺激和治疗性运动。第二例为女性,9岁,法洛四联症完全矫正后,于第2天落下足。除了心脏康复外,她还接受了疼痛管理、神经电刺激和治疗性运动。结果:1例患者进入心脏康复二期后,下垂足逐渐好转。第二例患者在心脏康复二期解除下垂足,术后一年后恢复正常。结论:2例心脏手术后下垂足均经疼痛及心脏康复治疗后下垂足得到缓解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Drop foot Post Mitral Valve Replacement and Total correction of Tetralogy of Fallot: A Two Case Report
Background: Peripheral nerve lesion after heart surgery was reported on brachial plexus, phrenic nerve, laryngeal recurrent nerve facial nerve, lumbosacral root and spinal cord. Incidence of peroneal communis nerve lesion after heart surgery was not much reported (0,19%). Diagnostic procedure of peripheral nerve lesion are including clinical sign and symptom,  electrophysiology studies and MRI. Rehabilitation management of peripheral nerve lesion are not only management of pain and nerve stimulation, but also walking aid beside cardiac rehabilitation due to cardiac problem.Methods: Reporting two case of peripheral nerve lesion after heart surgery. First case is a female, 37 years old suffered from drop foot two days after mitral valve replacement with mechanic valve. She got pain management, electrical nerve stimulation and therapeutic exercise beside cardiac rehabilitation program. Second case is a female, 9 years old, after total correction of Tetralogy of Fallot, got drop foot at day two. She also got pain management, electrical nerve stimulation and therapeutic exercise beside cardiac rehabilitation.Results: First case result was the drop foot getting better after she entered phase two of cardiac rehabilitation. In the second case, the drop foot was relieved at phase two cardiac rehabilitation and back to normal condition after one year after surgery.Conclusion: In these two case of drop foot after heart surgery, the drop foot was relieved after pain and rehabilitation management beside cardiac rehabilitation.
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