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首页> 外文期刊>Journal of clinical neuromuscular disease >Buttock-Crush Syndrome
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Buttock-Crush Syndrome

机译：臀部粉碎综合征

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A 31-year-old man with a history of heroin abuse was found unresponsive at a drug rehabilitation facility after ingesting 80 mg oxy-codone. Admission serum creatine phosphoki-nase was 37,000 IU/L. Examination 2 days later showed that the right gluteal region was tense, swollen, and painful to palpation and passive motion. The leg abductors, knee flexors, foot plantar and dorsiflexors, evertors, and invertors were paralyzed. The right Achilles deep tendon reflex was absent and there was sensory loss over the right foot and lateral leg below the knee. Magnetic resonance imaging of the pelvis (Fig. 1) showed the right gluteus maximus, medius, minimus, and piriformis muscles were enlarged and edematous (arrowhead), compressing the sciatic nerve (arrow). This patient was treated conservatively because he presented greater than 48 hours after his overdose. At 6-month follow-up, his examination revealed severe persistent weakness of the distal peroneal innervated muscles with improved strength proximally.
机译：在摄入80毫克氧 - 密码酮后，在药物康复设施中发现了一个31岁的男人，发现了一个药物康复设施。入院血清肌酸磷酸叔族酶为37,000 IU / L.检查2天后表明，右衰弱地区是紧张的，肿胀和痛苦的触觉和被动运动。瘫痪者，膝关节，膝关节，脚跖，瘫痪，Evertors和逆变器都是瘫痪的。右腱子反射右侧肌腱反射不存在，膝盖下方的右脚和侧腿上有感觉损失。骨盆（图1）的磁共振成像显示出右耀眼的最大值，Medius，Minimus和Piriformis肌肉被扩大和水肿（箭头），压缩坐骨神经（箭头）。该患者保守治疗，因为他在过量后呈现超过48小时。在6个月的随访中，他的检查显示了远端渗透后肌肉的严重持续弱点，近端改善了强度。

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