推拿所致头颈部动脉剥离

• 作 者: 徐中晓
• 出 处: 国外医学(脑血管疾病分册)
• 发表日期: 1994年01期
• 关键词: 颈部动脉 肌纤维发育不良 动脉剥离 颈部推拿 肾动脉造影 颈部疼痛 神经病学 并发症者 完全性卒中 急性期

近代研究表明,推拿治疗头颈部疼痛时发生椎动脉剥离者占百万分之一。过去6个月中,作者在1百万人中共发现4例发生此种并发症者。4例病人均无其它可致头颈部动脉剥离的病因,又排除了自发性动脉剥离。本组除1例肾动脉造影提示动脉存在轻度肌纤维发育不良外,未发现其他可能的病因。 头颈部动脉剥离的早期症状缺乏特异性,可在推拿治疗期间或推拿后立即发生。症状的严重程度与颈部推拿的力度间无紧密联系。早期症状至出现神经病学缺陷的时间自2h～2天不等,也有关于迟

Modern studies have shown that massage treatment of head and neck pain when vertebral artery peeling accounted for one millionth. In the past 6 months, the authors found that 4 of these complications occurred in 1 million people. None of the 4 patients had other etiological causes of head and neck dissection, and excluded spontaneous dissection. This group except 1 case of renal artery angiography showed mild muscle fiber dysplasia, but did not find other possible causes. Early symptoms of head and neck stripping the lack of specificity of the artery can be massaged during or immediately after massage. The severity of the symptoms and the strength of the neck massage are not closely linked. Early symptoms until the onset of neurological deficits from 2h to 2 days, but also on the late