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甲醇中毒致双侧大腿及小腿骨筋膜室综合征:一例报告

Bilateral compartment syndrome in thighs and legs by methanol intoxication: a case report.

作者信息

Figueras Coll G, Albortí Fitó G, Iborra Gonzàlez M, Cavanilles Walker J M, Aldea Boniche D, Roca Burniol J

机构信息

Department of Traumatology and Orthopedic Surgery, Hospital Universitari, Germans Trias i Pujol, Badalona (Ctra Canyet s/n 08916 Badalona), Spain.

出版信息

Emerg Med J. 2008 Aug;25(8):540-1. doi: 10.1136/emj.2008.058461.

Abstract

Methanol intoxication is infrequent even though it is easily obtainable. One of the complications in locomotor apparatus is the development of a compartment syndrome of the lower extremities. A case is reported of a 49-year-old man with a compartment syndrome in all compartments of both legs and the anterior compartment of both thighs due to methanol intoxication. The patient underwent a bilateral fasciotomy of the legs and thighs. He also had haemodialysis sessions because of acute renal insufficiency. After 4 weeks of haemodialysis, covering of the fasciotomies with cutaneous autograft and rehabilitation treatment, the patient was able to walk on his own again. Early recognition and treatment of compartment syndrome are essential to avoid complications.

摘要

甲醇中毒虽易于获取,但并不常见。运动系统的并发症之一是下肢骨筋膜室综合征的发生。本文报道了一例49岁男性因甲醇中毒导致双下肢所有骨筋膜室及双侧大腿前骨筋膜室均出现骨筋膜室综合征的病例。该患者接受了双侧小腿和大腿的筋膜切开减压术。由于急性肾功能不全,他还进行了血液透析治疗。经过4周的血液透析、自体皮肤移植覆盖筋膜切开部位以及康复治疗后,患者再次能够独立行走。早期识别和治疗骨筋膜室综合征对于避免并发症至关重要。

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