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冠状动脉搭桥术后下肢筋膜室综合征

Lower extremity compartment syndrome after coronary artery bypass.

作者信息

James Ted, Friedman Steven G, Scher Larry, Hall Michael

机构信息

Divisions of Vascular and Cardiac Surgery, North Shore University Hospital, Manhasset, NY 11030, USA.

出版信息

J Vasc Surg. 2002 Nov;36(5):1069-70. doi: 10.1067/mva.2002.128299.

Abstract

Compartment syndrome is a rare and dangerous complication of coronary artery bypass. All reported cases involved the vein donor limb. Once recognized, immediate fasciotomy is necessary to prevent irreversible ischemia and limb loss. Diagnosis requires a high index of suspicion and close observation of the patient, particularly those remaining intubated during the early postoperative period.

摘要

骨筋膜室综合征是冠状动脉搭桥手术中一种罕见且危险的并发症。所有报道的病例均累及静脉供体肢体。一旦确诊,必须立即进行筋膜切开术以防止不可逆转的缺血和肢体丧失。诊断需要高度的怀疑指数并密切观察患者,尤其是那些在术后早期仍需插管的患者。

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