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[儿童上肢损伤中的骨筋膜室综合征]

[The compartment syndrome in injuries of the upper extremity in children].

作者信息

Gál P, Melichar I

机构信息

Centrum dĕtské traumatologie-Klinika dĕtské chirurgie a traumatologie, FN Brno.

出版信息

Rozhl Chir. 1999 Jan;78(1):40-4.

PMID:10377771
Abstract

In the Centre for Child Traumatology in Brno the authors followed up during the last 10 years 22 patients with suspected compartment syndrome of the upper extremity. Incisions of intrafascial spaces were made in 12 patients-9x on the forearm and 3x on the hand. Another 10 patients had conservative treatment. The therapeutic results are with the exception of one female patient with developed Volkmann's contracture very satisfactory, the sequelae are only cosmetic. Compartment syndrome is a serious acute condition in child traumatology. Permanent sequelae of this syndrome can be prevented above all by early diagnosis and adequate therapy. It is therefore important to consider the possible development of this serious complication.

摘要

在布尔诺的儿童创伤学中心,作者在过去10年里对22例疑似上肢骨筋膜室综合征的患者进行了随访。12例患者进行了筋膜室内切开术——9例在前臂,3例在手部。另外10例患者接受了保守治疗。除1例发生Volkmann挛缩的女性患者外,治疗效果非常令人满意,后遗症仅为外观方面的。骨筋膜室综合征在儿童创伤学中是一种严重的急性病症。该综合征的永久性后遗症首先可通过早期诊断和适当治疗来预防。因此,考虑这种严重并发症的可能发展很重要。

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