Balcarek P, Frosch K-H, Quintel M, Stürmer K M
Unfallchirurgie, Plastische- und Wiederherstellungschirurgie, Georg-August-Universität, Göttingen.
Unfallchirurg. 2005 Sep;108(9):770, 772-5. doi: 10.1007/s00113-005-0918-z.
Systemic capillary leak syndrome is a rare disorder which causes recurrent episodes of hypovolemic shock due to a markedly increased plasma shift into the interstitium. Hemoconcentration, hypoalbuminemia and a monoclonal gammopathy are characteristic laboratory findings. A rare manifestation of this disease is a compartment syndrome with rhabdomyolysis and acute renal failure. We describe a patient who suffers from a compartment syndrome of both lower legs and the left forearm secondary to systemic capillary leak syndrome, and discuss the pathophysiological background.
系统性毛细血管渗漏综合征是一种罕见的疾病,由于血浆明显转移至间质导致反复发生低血容量性休克。血液浓缩、低白蛋白血症和单克隆丙种球蛋白病是典型的实验室检查结果。该疾病的一种罕见表现是伴有横纹肌溶解和急性肾衰竭的骨筋膜室综合征。我们描述了一名继发于系统性毛细血管渗漏综合征的双侧小腿和左前臂骨筋膜室综合征患者,并讨论其病理生理背景。