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54.下列何者錯誤?
(A)多由鎖骨下血管或此區臂神經叢受壓迫而引起
(B)症狀多由神經壓迫引起
(C)中年男性病患較多
(D)治療可先採保守非手術方法

答案:登入後查看
統計: A(28), B(33), C(337), D(75), E(0) #2184319

詳解 (共 1 筆)

#6446600
資料來源:UpToDate
Thoracic outlet syndrome – Thoracic outlet syndrome (TOS) refers to a constellation of signs and symptoms arising from compression of the upper extremity neurovascular bundle by various structures in the area just above the first rib and behind the clavicle, typically within the confined space of the thoracic outlet. The term thoracic outlet syndrome is not a specific diagnosis, and the appropriate type of TOS, such as neurogenic (nTOS), arterial (aTOS), or venous (vTOS) thoracic outlet syndrome, should be used. 
Causes –Thoracic outlet syndromes are due to rib anomalies, muscular anomalies, or a result of injury. Cervical ribs predispose the patient to TOS after hyperextension-flexion (whiplash) injury. The absence of a rib anomaly makes the diagnosis of arterial thoracic outlet syndrome less likely. Many patients with nTOS have a prior history of neck trauma or repetitive occupational and physical stress. Similarly, vTOS is highly associated with repetitive movements, particularly with repetitive overhead upper extremity movements.
文中未提及好發族群,但從致病機轉有先天異常,可得知好發族群應該不限於中年人,也不限於男性
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私人筆記 (共 2 筆)

私人筆記#5734079
未解鎖
胸廓出口症候群通常是指先天性位於肩、頸...
(共 352 字,隱藏中)
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4
1
私人筆記#7082651
未解鎖
A) 多由鎖骨下血管或此區臂神經叢受壓迫...
(共 371 字,隱藏中)
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2
0