Roth John Scott, Newman Edwin C
Department of Surgery, East Carolina University, Brody School of Medicine, Greenville, North Carolina 27858, USA.
Am Surg. 2002 Sep;68(9):791-4.
The gluteal region is not commonly thought of as a compartment, yet nondistensible osseofascial boundaries do exist. As with any case of compartment syndrome expedient therapeutic measures are critical to salvaging neuromuscular function. The gluteal compartment is unique, however, because of its tremendous muscle mass and great potential for producing devastating systemic sequelae. Gluteal compartment syndrome is most commonly associated with unconscious patients who are recumbent for prolonged periods, but trauma, spontaneous bleeding, and overexertion can also cause it. We present a case report of gluteal compartment syndrome after bone marrow biopsy of the iliac crest. Recognizing gluteal compartment syndrome as an entity and maintaining a high index of suspicion for its development especially in unconscious patients can avert disaster regardless of etiology.
臀区通常不被认为是一个间隔，但确实存在不可扩张的骨筋膜边界。与任何骨筋膜室综合征病例一样，及时的治疗措施对于挽救神经肌肉功能至关重要。然而，臀区间隔是独特的，因为其肌肉量巨大，且产生严重全身后遗症的可能性很大。臀区骨筋膜室综合征最常见于长期仰卧的无意识患者，但创伤、自发性出血和过度劳累也可导致该病。我们报告一例髂嵴骨髓活检后发生臀区骨筋膜室综合征的病例。认识到臀区骨筋膜室综合征这一实体，并对其发生保持高度怀疑指数，尤其是在无意识患者中，无论病因如何，均可避免灾难发生。
