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肢体骨筋膜室综合征的诊断与处理:骨科视角

Diagnosis and management of extremity compartment syndromes: an orthopaedic perspective.

作者信息

Konstantakos Emmanuel K, Dalstrom David J, Nelles Meghann E, Laughlin Richard T, Prayson Michael J

机构信息

Department of Orthopaedic Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio 45409, USA.

出版信息

Am Surg. 2007 Dec;73(12):1199-209.

PMID:18186372
Abstract

More than 200,000 people in the United States are diagnosed annually with compartment syndrome. This condition is commonly established based on clinical parameters. Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status. A delay in diagnosis and treatment of these injuries can result in significant morbidity. Surgical release of the enveloping fascia remains the acceptable standard treatment for compartment syndrome. This article reviews the evaluation and treatment of compartment syndrome.

摘要

在美国,每年有超过20万人被诊断患有骨筋膜室综合征。这种病症通常根据临床参数来确诊。然而,对于意识不清的患者或精神状态改变的患者,确定是否存在骨筋膜室综合征可能具有挑战性。这些损伤的诊断和治疗延迟会导致严重的发病率。切开包裹的筋膜进行手术减压仍然是骨筋膜室综合征可接受的标准治疗方法。本文综述了骨筋膜室综合征的评估和治疗。

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