PATTERN OF PERIPHERAL TRAUMATIC NEUROPATHY OF THE UPPER LIMB IN LAGOS
PATTERN OF PERIPHERAL TRAUMATIC NEUROPATHY OF THE UPPER LIMB IN LAGOS
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DOI：
10.1016/0020-1383(88)90105-2
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发表时间：
1988-09-01
影响因子：
2.5
通讯作者：
ADEYEMIDORO, HO
中科院分区：
文献类型：
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作者：
ADEYEMIDORO, HO
共有 181 名患者上肢 254 条神经受损进行了前瞻性研究。患者年龄6周至70岁，平均25.9岁，男女比例为4：1。 83例患者的123条神经损伤部位是手腕。撕裂伤是最常见的损伤类型，导致 127 名患者神经损伤。尺神经 (114) 比其他神经更常受累。正中神经 92 条，桡神经 34 条，颈臂神经 14 条。 31 名患者（17%）在初次紧急手术时漏诊了神经损伤。各类玻璃造成89例患者损伤，涉及119条神经。在所有玻璃损伤的神经中，60%是由家用建筑门窗和家具玻璃造成的。 71 名患者的受伤机制是意外跌倒或拳打以及强行打开或关闭。建议制定严格的玻璃安全法规并对公众进行有关玻璃危险的教育，以预防与玻璃相关的伤害。
A total of 181 patients with 254 injured nerves in the upper limbs were prospectively studied. The ages of the patients ranged from 6 weeks to 70 years, with a mean of 25.9 years and a male to female ratio of 4:1. The site of injury for 123 nerves in 83 patients was the wrist. A torn wound was the commonest type of injury, causing nerve damage in 127 patients. The ulnar nerve (114) was more frequently involved than other nerves. There were 92 median, 34 radial and 14 cervicobrachial nerves. The nerve injury was missed at the initial emergency operation in 31 patients (17 per cent). Glass of various types caused the injury in 89 patients involving 119 nerves. Of all glass wounded nerves 60 per cent were caused by domestic architectural window, door and furniture glass. Accidental fall or punch and forced opening or closure were the mechanism of injury in 71 patients. Strict glass safety regulations and education of the public on the dangers of glass are recommended for prevention of glass-related injuries.