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外伤性髂肌撕裂伤产生血肿压迫股神经较为少见.1981年以来收治7例,报告如下.临床资料7例均为男性.无抗凝治疗史,并排除血友病及其它出血性疾病.年龄最小16岁,最大21岁.左侧血肿3例,右侧3例,双侧1例.5例为体育运动中猛烈屈髋时大腿突然受阻致伤,2例跌伤.伤后1～5天就诊5例,18～20天就诊2例.患者均有逐渐加剧的患侧髂窝部疼痛及痛性肿块.强迫屈髋位,被动伸髋时则疼痛加重.股前外侧及小腿内侧感觉障碍,伸膝无力.本组就诊时股四头肌0级5例,2～4级2例.膝反射消失6例,减弱1例.有1例左侧患者用
Traumatic iliac muscle laceration hematoma oppression femoral nerve is relatively rare .Seven cases since 1981, the report is as follows.Clinical data of 7 cases were men without anticoagulant therapy history, and exclude hemophilia and other bleeding disorders. The youngest 16 years old, the maximum age of 21. Left hematoma in 3 cases, right in 3 cases, bilateral in 1. 5 cases of violent flexion of the hip when the sudden thigh injury, 2 cases fall injury 1 ~ 5 days treatment in 5 cases, 18 to 20 days treatment in 2 cases, patients have gradually aggravated iliac fossa pain and painful mass.Forced hip flexion, passive hip prolongation, then the pain aggravated.External anterolateral and calf medial Sensory disturbance, knee extensor weakness in this group at the time of treatment quadriceps 0 0 5 cases, 2 to 4 cases in 2. knee reflex disappeared in 6 cases, weakening in 1. 1 case of patients with left