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[患者姓名]接受长时间截石位骨科手术后出现小腿间隔综合征：病例报告。

Lower leg compartment syndrome following prolonged orthopedic surgery in the lithotomy position -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S49-52. doi: 10.4097/kjae.2010.59.S.S49. Epub 2010 Dec 31.

DOI:10.4097/kjae.2010.59.S.S49
PMID:21286459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030055/
Abstract

Surgical procedures necessitating the prolonged use of the lithotomy position can be associated with neuromuscular dysfunction. Compartment syndrome of the lower leg is a grave complication which, if unrecognized, can lead to either permanent neuromuscular dysfunction or limb loss. We report a case of compartment syndrome of lower leg that occurred in male patient aged 20 years after 380 minutes arthroscopic surgery in the lithotomy position.

摘要

需要长时间采用截石位的手术可能会导致神经肌肉功能障碍。小腿间隔区综合征是一种严重的并发症，如果未能识别，可能导致永久性神经肌肉功能障碍或肢体丧失。我们报告了 1 例 20 岁男性患者在截石位行 380 分钟关节镜手术后发生小腿间隔区综合征的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c45/3030055/8db6af5c232f/kjae-59-S49-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c45/3030055/b758a1af1da8/kjae-59-S49-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c45/3030055/8db6af5c232f/kjae-59-S49-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c45/3030055/b758a1af1da8/kjae-59-S49-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c45/3030055/8db6af5c232f/kjae-59-S49-g002.jpg

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Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S49-52. doi: 10.4097/kjae.2010.59.S.S49. Epub 2010 Dec 31.
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本文引用的文献

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Acute compartment syndrome of the lower limb and the effect of postoperative analgesia on diagnosis.下肢急性骨筋膜室综合征及术后镇痛对诊断的影响
Br J Anaesth. 2009 Jan;102(1):3-11. doi: 10.1093/bja/aen330. Epub 2008 Nov 19.
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间歇性气动压迫会导致骨筋膜室综合征吗？
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Lower extremity anterior compartment syndrome complicating bilateral mastectomy and immediate breast reconstruction: A case report and literature review.双侧乳房切除术及即刻乳房重建术后并发下肢前侧间隔综合征：一例报告及文献综述
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Rhabdomyolysis after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a case report.减瘤手术及热灌注腹腔化疗后横纹肌溶解症：一例报告
Case Rep Oncol. 2013 Jan;6(1):36-44. doi: 10.1159/000346471. Epub 2013 Jan 18.
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Lumbar plexopathy after radical nephrectomy -A case report-.根治性肾切除术后的腰丛神经病：病例报告。
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Rhabdomyolysis.横纹肌溶解症
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Lower limb acute compartment syndrome after colorectal surgery in prolonged lithotomy position.长时间截石位结直肠手术后的下肢急性骨筋膜室综合征
Dis Colon Rectum. 2006 Nov;49(11):1772-80. doi: 10.1007/s10350-006-0712-1.
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[Postoperative bilateral compartment syndrome resulting from prolonged urological surgery in lithotomy position. Serum creatine kinase activity (CK) as a warning signal in sedated, artificially respirated patients].[截石位长时间泌尿外科手术后发生的双侧骨筋膜室综合征。血清肌酸激酶活性（CK）作为镇静、人工通气患者的警示信号]
Anaesthesist. 1995 Jan;44(1):43-7. doi: 10.1007/s001010050131.