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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Traumatic Peripheral Neuropraxias in Neonates: A Case Series
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Traumatic Peripheral Neuropraxias in Neonates: A Case Series

机译：新生儿创伤性周围神经失弛症：一个病例系列

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Traumatic peripheral nerve palsies in the newborn are uncommon but are a cause of severe anxiety in parents. Erb?s palsy, brachial plexus, radial nerve and facial nerve are the common nerves affected. Perinatal injuries are the most frequent cause of traumatic peripheral neuropraxias / nerve palsies. Usually these neuropraxias are self-limited with good recovery with conservative management in majority of cases.Ten neonates with peripheral neuropraxias were included in this retrospective study based on a review of these cases over a period of three and a half years. Their clinical profile, presenting symptoms, predisposing factors and management were analyzed. We encountered five neonates with erb?s palsy, three with facial palsy and two had radial nerve affection. Risk factors in our series included large babies, prolonged or difficult labour, instrumental delivery and shoulder dystocia. All cases of peripheral nerve involvement were managed conservatively with physiotherapy. Nine neonates were discharged and showed gradual improvement and one patient unfortunately succumbed due to severe birth asphyxia. Parental counseling and rehabilitation play an important part in management of these cases.
机译：新生儿外伤性周围神经麻痹不常见，但会引起父母严重焦虑。常见的神经是Erb's麻痹，臂丛神经，radial神经和面神经。围产期损伤是外伤性周围神经失用/神经麻痹的最常见原因。通常，在大多数情况下，这些神经性失弛缓症是自我限制的，并且在保守治疗的情况下恢复良好。本回顾性研究纳入了十名新生儿，他们在三年半的时间里对这些病例进行了回顾。他们的临床资料，症状，诱发因素和管理进行了分析。我们遇到了5名患有erb's麻痹的新生儿，3名患有面神经麻痹的新生儿和2名radial神经受累的新生儿。我们系列中的风险因素包括大婴儿，分娩时间长或困难，分娩时的工具和肩难产。所有周围神经受累病例均采用物理疗法保守治疗。九名新生儿出院并逐渐好转，不幸的是，一名婴儿因严重的出生窒息而屈服。父母的咨询和康复在处理这些案件中起着重要的作用。

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