Castro-Garcia Jose, Davis Brian R, Pirela-Cruz Miguel A
Department of Surgery, Texas Tech University Health Sciences Center, El Paso 79905, USA.
Am Surg. 2010 Jul;76(7):752-4.
Compartment syndrome is caused by elevated interstitial pressure within the myofascial compartment. It rarely presents bilaterally in the gluteal region. A 49-year-old man fell 10 feet from a roof on his buttocks. He presented 10 hours after the injury with intense lumbar pain. Both glutei were exceptionally tense. There were no vascular injuries or sensory deficits. Compartmental pressures measured 60 mm Hg on the left side and 50 mm Hg on the right side. The patient was taken to the operating room for decompressive fasciotomy. The glutei compartments were released. He was taken once more to the operating room, requiring only minimal débridement. He was discharged the next week with no neurological deficit. Bilateral gluteal compartment syndrome is very rare with few cases reported in the literature. It has been associated with trauma, prolonged recumbence, surgical instrumentation, and illicit drug abuse. Early recognition is required to avoid the potential severe metabolic and physical deficits.
骨筋膜室综合征是由肌筋膜室内的间质压力升高引起的。它很少双侧出现在臀区。一名49岁男性从屋顶上10英尺高处臀部着地摔倒。他在受伤10小时后就诊，伴有剧烈的腰痛。双侧臀肌异常紧张。没有血管损伤或感觉障碍。左侧骨筋膜室内压力测量为60毫米汞柱，右侧为50毫米汞柱。患者被送往手术室进行减压筋膜切开术。臀肌骨筋膜室被松解。他再次被送往手术室，仅需进行最小限度的清创。他于下周出院，无神经功能缺损。双侧臀肌骨筋膜室综合征非常罕见，文献报道的病例很少。它与创伤、长期卧床、手术器械操作和非法药物滥用有关。需要早期识别以避免潜在的严重代谢和身体功能缺损。
