McIver Mandisa Anjail, Gochman Robert Francis
Department of Emergency Medicine and Pediatrics, Long Island Jewish Medical Center/Cohen Children's Medical Center of New York, Long Island, NY, USA.
Pediatr Emerg Care. 2011 May;27(5):428-9. doi: 10.1097/PEC.0b013e318217b5a7.
The recent popularity of elastic bands on the wrist may put children at risk for acute compartment syndrome. Acute compartment syndrome is a limb-threatening condition characterized by elevated interstitial pressure in a confined fascial compartment. If left untreated, it may result in tissue necrosis, irreversible nerve and muscle injury, and permanent functional impairment. We report a case of a 2½-year-old girl with history of a rubber band around her wrist, who presented to the emergency department with a swollen, blue hand suggestive of an impending compartment syndrome. Although this patient ultimately was not diagnosed with acute compartment syndrome, we discuss the importance of prevention, early diagnosis, and prompt treatment of compartment syndrome to prevent permanent disability.
近期手腕上佩戴橡皮筋的流行趋势可能会使儿童面临急性骨筋膜室综合征的风险。急性骨筋膜室综合征是一种威胁肢体的病症，其特征为在封闭的筋膜室内间质压力升高。若不及时治疗，可能会导致组织坏死、不可逆的神经和肌肉损伤以及永久性功能障碍。我们报告了一例2岁半女童的病例，她手腕上有橡皮筋佩戴史，因手部肿胀、发青而被送往急诊科，提示即将发生骨筋膜室综合征。尽管该患者最终未被诊断为急性骨筋膜室综合征，但我们讨论了预防、早期诊断和及时治疗骨筋膜室综合征以防止永久性残疾的重要性。
