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大腿刺伤并发症之骨筋膜室综合征:一例报告并文献复习

Compartment syndrome as a complication of a stab wound to the thigh: a case report and review of the literature.

作者信息

Gillooly John J, Hacker Andrew, Patel Vipul

机构信息

Department of Orthopaedic and Trauma Surgery, St Helier Hospital, Carshalton, SM5 1AA, UK.

出版信息

Emerg Med J. 2007 Nov;24(11):780-1. doi: 10.1136/emj.2007.052647.

Abstract

Acute compartment syndrome of the thigh is a rare but potentially devastating condition, in which the pressure within the osseofascial compartment rises above the capillary perfusion gradient, leading to cellular anoxia, muscle ischaemia and death. Early diagnosis and treatment is essential to prevent long term disability. It is most often associated with crush injuries and femoral fracture. We present a previously unreported case of thigh compartment syndrome following a stab injury, treated by emergent fasciotomy.

摘要

大腿急性骨筋膜室综合征是一种罕见但可能具有毁灭性的病症,其中骨筋膜室内的压力升高超过毛细血管灌注梯度,导致细胞缺氧、肌肉缺血和坏死。早期诊断和治疗对于预防长期残疾至关重要。它最常与挤压伤和股骨骨折相关。我们报告一例先前未报道的刺伤后大腿骨筋膜室综合征病例,通过急诊筋膜切开术进行治疗。

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