病因不明的急性双侧前臂骨筋膜室综合征。

Acute bilateral forearm compartment syndrome of unknown aetiology.

作者信息

O'Leary E J P, Bulstrode N W, Gschwind C

机构信息

Department of Hand Surgery, University of Sydney, Royal North Shore Hospital, Sydney, Australia.

出版信息

Hand Surg. 2006;11(3):147-9. doi: 10.1142/S0218810406003243.

DOI:10.1142/S0218810406003243

PMID:17405196

Abstract

This is the first reported case of non-traumatic, acute bilateral forearm compartment syndrome. Despite a delay of over 24 hours until surgical decompression and 50% muscle fibre necrosis in the histopathological examination, the clinical outcome was excellent after fasciotomy, delayed primary wound closure and early institution of a range of motion exercise programme. The literature on non-traumatic causes of compartment syndrome is reviewed.

摘要

这是首例非创伤性急性双侧前臂骨筋膜室综合征的报道病例。尽管直到手术减压延迟了超过24小时，且组织病理学检查显示有50%的肌纤维坏死，但在进行筋膜切开术、延迟一期伤口缝合及早期开展一系列关节活动度锻炼计划后，临床效果极佳。本文对骨筋膜室综合征非创伤性病因的文献进行了综述。