State University of New York Downstate Medical Center, Brooklyn, New York 11203, USA.
Ann Thorac Surg. 2010 Jan;89(1):271-3. doi: 10.1016/j.athoracsur.2009.06.083.
Compartment syndrome is a limb-threatening condition often associated with traumatic, crush, burn, and reperfusion injuries. It is characterized by the development of disproportionately severe pain, paresthesias, decreased range of motion, loss of pulse, and a tense, edematous limb. In addition, measured compartment pressures and creatine phosphokinase values are often elevated. The definitive treatment is a decompressive fasciotomy. Compartment syndrome after coronary artery bypass grafting, however, is rare. The few reported cases all occurred in the vein donor leg after open harvest. We present a patient with compartment syndrome after endoscopic harvest of the saphenous vein for coronary artery bypass grafting.
筋膜室综合征是一种常与创伤、压榨、烧伤和再灌注损伤相关的危及肢体的病症。其特征为出现不相称的严重疼痛、感觉异常、运动范围减小、脉搏消失以及紧张、肿胀的肢体。此外，测得的筋膜室压力和肌酸磷酸激酶值通常升高。明确的治疗方法是减压筋膜切开术。然而，冠状动脉旁路移植术后发生的筋膜室综合征很少见。少数报道的病例均发生在开放取栓后的静脉供体腿。我们报告了 1 例接受内镜下隐静脉取栓行冠状动脉旁路移植术后发生筋膜室综合征的患者。
