Negri L, Weber W, Haus J, Krüger-Franke M
Institut für Anaesthesiologie und Intensivmedizin, Ludwig-Maximilians-Universität München im Klinikum Grosshadern.
Anaesthesist. 1991 Dec;40(12):680-1.
After conservative therapy of a left-sided radius fracture a 14-year-old patient developed a compartment syndrome; within 24 h, that required immediate surgical intervention. Despite palpable peripheral pulsation of the radial and ulnar arteries, it was not possible to measure the arterial oxygen saturation by pulse oximetry on the forefinger and fifth finger of the left hand, so that a compartment syndrome due to a disorder of perfusion could be diagnosed. After fasciotomy, it became possible to measure the oxygen saturation by pulse oximetry as well as plethysmographic visualization of the pulse curve. In this case pulse oximetry confirmed the indication for surgical intervention and immediately demonstrated its success.
一名14岁左侧桡骨骨折患者在接受保守治疗后出现骨筋膜室综合征；在24小时内，这需要立即进行手术干预。尽管桡动脉和尺动脉的外周搏动可触及，但无法通过脉搏血氧饱和度仪测量左手食指和小指的动脉血氧饱和度，因此可诊断为因灌注障碍导致的骨筋膜室综合征。筋膜切开术后，可以通过脉搏血氧饱和度仪测量血氧饱和度，并通过体积描记法显示脉搏曲线。在这种情况下，脉搏血氧饱和度仪证实了手术干预的指征，并立即显示了手术的成功。
