The Chiropractic Doctors' Association of Hong Kong

12/16/2021

【脊醫研究】胸廓出口綜合徵

血管胸廓出口綜合徵:病例報告

Eric Chu
King Yi Leung
Lucina Lo Wah Ng
Ada Yuk Yin Lam

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胸廓出口綜合徵,保守治療

目的:探討一例血管性胸廓出口綜合徵患者的脊醫治療。

臨床特徵: 一名 30 歲男性報告右手突然出現間歇性麻木、緊繃和無力。表現為右上肢皮膚片狀剝落,右肩紫紺;以及冰冷蒼白的右手。運動被確定為激發運動。骨科檢查顯示艾倫測試呈陽性,而 Adson 測試結果有所改變。他的右肘/腕屈肌和伸肌的運動強度為 4/5,右側第 5 掌骨的屈肌和外展肌明顯弱於左側。他之前曾被神經科醫生診斷出患有胸動脈出口綜合徵,並給他開了肌肉鬆弛劑、物理治療運動、按摩治療和針灸治療。

干預和結果:治療方案包括脊柱推拿療法、熱超聲檢查、器械輔助軟組織鬆動和伸展加壓牽引。他的症狀完全消失了,他反復進行的胸廓出口綜合徵和頸椎前凸的骨科檢查都正常。

結論:一名 30 歲男性血管胸廓出口綜合徵通過脊醫治療。

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