摘要
2019年12月30日收治1例因急性一氧化碳中毒致右小腿骨筋膜室综合征的49岁男性患者,该患者有慢性肾炎病史10年,1个月前因肾功能衰竭开始透析治疗,入院后急诊行骨筋膜室综合征切开减压术。入院2周并发因2019新型冠状病毒(2019-nCoV)感染引起的新型冠状病毒肺炎,简称"新冠肺炎",随即转入隔离病房,给予抗感染、抗病毒、祛痰、清热解毒、床边移动透析机床边透析及全身营养、对症支持治疗。经过2周治疗,患者恢复良好,精神状态可,无发热、咳嗽、喘气等不适,食欲可;右下肢伤口干燥,无明显渗出,右下肢及右足感觉、运动功能逐渐恢复。该病例少见、症状重、诊治困难,是目前报道的首例骨科手术后并发新冠肺炎的病例。
A 49-year-old male patient with compartment syndrome of the right leg caused by acute carbon monoxide poisoning was admitted on December 30,2019.The patient had a 10-year history of chronic nephritis and began dialysis treatment due to renal failure 1 month ago.Emergency surgical decompression for compartment syndrome was performed after admission.Two weeks later,the patient was diagnosed as the novel coronavirus pneumonia caused by 2019 novel coronavirus(2019-nCoV)infection.Then,the patient was transferred to the isolation ward,where he was given anti-infection,anti-virus,expectorant,heat-clearing and detoxifying drugs,bedside dialysis,and nutrition support symptomatic treatment.After 2 weeks of treatment,the patient is getting better,with no fever,cough,wheezing,and other discomfort.Meanwhile,the sensory and motor functions of right lower limb recovered gradually.This case is rare,severe,and difficult to diagnose and treat.It is the first reported case of novel coronavirus pneumonia after orthopedic surgery.
作者
杨平
段祥林
伍振威
周青山
吴星火
YANG Ping;DUAN Xianglin;WU Zhenwei;ZHOU Qingshan;WU Xinghuo(Department of Orthopedics,Wuhan Red Cross Hospital,Wuhan Hubei,430022,P.R.China;Department of Orthopedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei,430022,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2020年第8期1041-1043,共3页
Chinese Journal of Reparative and Reconstructive Surgery
