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題 名 | 職業性上肢周邊神經病變=Occupational Upper Limbs Peripheral Neuropathy |
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作 者 | 許木嶺; 陳錫洲; | 書刊名 | 中華職業醫學雜誌 |
卷 期 | 8:2 2001.04[民90.04] |
頁 次 | 頁69-77 |
分類號 | 415.831 |
關鍵詞 | 職業醫學; 周邊神經病變; 腕隧道症候群; Occupational medicine; Peripheral neuropathy; Carpal tunnel syndrome; |
語 文 | 中文(Chinese) |
中文摘要 | 感覺、運動、或自主神經纖維功能失調,會導致周邊神經病變。關於因職業暴露而影響周邊神經有兩方面:因過度暴露在工業或環境化學物,而造成全身神經病變;另外有些職業就易使勞工造成周邊神經傷害。在韌帶及骨間通道中神經受到壓迫,在肌肉緣間神經受擠壓造成拉扯並形成缺血傷害,是主要之機轉。局部神經病變症狀可分成運動及感覺之異常。詢問病史應著重在感覺及運動症狀之情況。上肢症狀包括可因:轉動頸部、咳嗽、駕駛、睡眠、肩膀背負重物、太久或用力使用手或手臂造成。神經傳導速度檢查及肌電圖,在評估局部神經病變是重要工具。磁振造影及電腦斷層最常用來評估頸、腰部神經根病變。本篇將就上肢職業性周邊神經病變作討論,並作文獻回顧。 |
英文摘要 | Dysfunction of sensory, motor, or autonomic nerve fibers leads to peripheral neuropathy. Occupational exposures affect peripheral nerves in two possible ways. First, excessive exposure to many industrial or environmental chemicals causes a generalized nerve disorder. Second. Many occupations predispose workers to physical injuries to peripheral nerves.Compression of a nerve within a ligamentous-bony canal, stretching and subsequent ischemic injury by the squeezing of a nerve between muscle edges during repetitive motions are mechanisms for injury. The symptoms of focal neuropathies may be separated into two categories:motor and sensory disturbances. History taking should focus on the nature of sensory and motor symptoms. For upper extremity symptoms, these may include neck turning, coughing, driving, sleeping, carrying a heavy shoulder bag, or any prolonged or forceful use of the hands or arms. Nerve conduction study and electromyography are important laboratory tools in the evaluation of focal neuropathies. Magnetic resonance imaging and computed tomography are most frequently employed to assess cervical and lumbar radiculopathies, conditions that mimic entrapment neuropathies. We present the classical syndromes of upper limbs peripheral neuropathy in occupational medicine, and review the literatures. |
本系統中英文摘要資訊取自各篇刊載內容。