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[造影剂外渗后前臂急性骨筋膜室综合征。病例报告]

[Acute compartment syndrome of the forearm after paravasation of contrast medium. Case report].

作者信息

Ensat F, Babl M, Spies M

机构信息

Klinik für Plastische, Hand- und wiederherstellende Chirurgie, Krankenhaus Barmherzige Brüder, Regensburg, Deutschland.

出版信息

Radiologe. 2010 Mar;50(3):272-6. doi: 10.1007/s00117-009-1954-4.

Abstract

The paravasation of radiographic contrast medium has a wide spectrum of clinical presentations, ranging from local erythema and swelling to extensive damage to the extremity affected. We report the case of a patient who developed an acute compartment syndrome of the forearm after paravenous mechanical injection of 100 ml radiographic contrast medium. After emergency fasciotomy for muscle and nerve decompression the full range of motion and sensitivity could be restored.

摘要

放射造影剂的外渗有广泛的临床表现,从局部红斑和肿胀到受影响肢体的广泛损伤。我们报告一例患者,在经静脉机械注射100毫升放射造影剂后发生了前臂急性骨筋膜室综合征。在进行紧急筋膜切开术以减压肌肉和神经后,可恢复全部活动范围和感觉。

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