Mars M, Hadley G P, Aitchison J M
Department of Physiology, University of Natal and King Edward VIII Hospital, Durban.
S Afr Med J. 1991 Sep 7;80(5):227-8.
Snakebite remains a source of considerable morbidity in Natal. Despite the availability of specific and polyvalent antivenins, the regional effects of envenomation and inappropriate first-aid result in significant, potentially avoidable, disability--particularly in children. Direct measurement of intracompartmental pressure has been used as an adjunct to clinical assessment of the child with a swollen limb following snakebite in order to diagnose compartment syndrome. Initial encouraging results in 9 patients suggest that, in this difficult clinical situation, such measurements may have an important role in patient assessment.
在纳塔尔，蛇咬伤仍是导致相当高发病率的一个原因。尽管有特效和多价抗蛇毒血清，但蛇毒中毒的局部影响以及不恰当的急救措施导致了严重的、可能避免的残疾，尤其是在儿童中。对于蛇咬伤后肢体肿胀的儿童，直接测量筋膜室内压力已被用作临床评估的辅助手段，以诊断筋膜室综合征。对9名患者的初步令人鼓舞的结果表明，在这种困难的临床情况下，此类测量可能在患者评估中发挥重要作用。
