大面积3度和4度烧伤患者足部下垂的病例系列研究。

IF 1.4 Q3 EMERGENCY MEDICINE
Hassan A Ali, Khalid A Fayi, Ali M Alkhathami, Nouf Alturaiki, Eman M Alshammari
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引用次数: 0

摘要

烧伤可导致各种短期和长期的并发症,周围神经病变一直被认为是最常见的神经肌肉并发症。29%的烧伤相关周围神经病变发生在上肢和下肢。此外,文献未发现烧伤患者足下垂等特定表现的致病因素。本研究报告了10例在利雅得阿卜杜勒阿齐兹国王医疗城发生烧伤后足下垂并需要职业治疗随访的患者。目的:评价不同危险因素对足下垂结局的影响。回顾了10例病例记录,其中70%为男性,30%为女性,平均年龄39岁,平均BMI为28。大多数患者被火焰烧伤,占70%。平均体表面积(TBSA)为62%。其中4例(40%)有合并症。死亡与高TBSA之间存在显著关联。所有病例均未经手术治疗,诊断为足下垂后立即开始物理治疗。70%的病人好转,3例死亡。高TBSA显示与死亡显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foot drop in patients with extensive 3rd and 4th degree burn, case series study.

Burn injuries can lead to a variety of short- and long-term complications, peripheral neuropathy has been known as the most common neuromuscular complication. 29% of the burn-related peripheral neuropathy has been found in both the upper and lower limbs. Moreover, literature failed to find the causative factors for specific presentations like foot drop in burn patients. This study reports a series of 10 patients who developed foot drop after burn injury and required occupational therapy follow up at King Abdulaziz Medical City in Riyadh. To assess the effect of different risk factors in the outcome of foot drop. 10 case records were reviewed, 70% among the patients were men and 30% were women with a mean age of 39 and a mean BMI of 28. Most of the patients 70% were burned by flame. The mean Total Body Surface Area (TBSA) was 62%. 4 of the cases (40%) were having comorbidities. There was a significant association between death and high TBSA. All cases were managed without surgical intervention, physiotherapy started immediately after the diagnosis of foot drop. Seventy percent of our patients improved while 3 cases have expired. Higher TBSA showed to be significantly associated with death.

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