轻型血友病假性肿瘤并股神经损伤(附1例报告)

为了探讨血友病假性肿瘤(hemophilic pseudotumor)的诊断与治疗，对临床误诊并手术治疗的1例血友病假性肿瘤患者进行临床观察与分析。结果表明：通过病史及家族史的补充询问、实验室检查结合影像学结果确诊为①血友病A(轻型)；②血友病假性肿瘤并股神经损伤。手术后通过积极的凝血因子补充，伤口愈合良好。结论：详细询问病史、重视实验室检查结果可减少血友病假性肿瘤误诊和误治；重视术前准备可减少术中出血危险性，并能促进术后伤口的早期愈合。

Mild Type of Hemophilic Pseudotumor with Injury of Femoral Nerve (One Case Report)

To explore the diagnoses and treatment of hemophilic pseudotumor, one case with hemophilic pseudotumor misdiagnosed and treated by operation, was observed and analyzed. The result showed that the final diagnosis of this case was following: hemophilia A (mild type) and hemophilic pseudotumor with injury of femoral nerve. The final diagnosis was given from inquiring case history and family history additionally, and drawing assistance from laboratory examination and computed tomography. After operation, the patient's wound healed very well through supplying coagulation factors positively. In conclusion, it was important for inquiring case history and family history particularly and thinking highly of laboratory examination to reduce the misdiagnosis and error of therapy for this case. If paying attention to preoperative preparation, the danger of hemorrhage during operation can be reduced and wound after operation can heal more rapidly.