Iizuka Shinichi, Miura Naoyuki, Fukushima Tomokazu, Seki Tomoko, Sugimoto Katuhiko, Inokuchi Sadaki
Department of Emergency and Critical Care of Medicine, Odawara Municipal Hospital, 49 Kuno, Odawara-City, Kanagawa 250-8558, Japan.
Tokai J Exp Clin Med. 2011 Jul 20;36(2):25-8.
Gluteal compartment syndrome is a relatively rare condition that mostly result from atraumatic causes such as prolonged immobilization due to drug abuse or alcoholic intoxication and incorrect positioning during surgical procedures rather than traumatic causes. Early diagnosis is difficult and sometimes delayed or overlooked because of poor physical signs resulting from altered mental status and inappropriate diagnosis by clinicians. It has been reported that more than half of the cases of gluteal compartment syndrome are associated with crush syndrome and sciatic nerve palsy. Early diagnosis and immediate fasciotomy are necessary to improve the functional prognosis. Here, we report the case of a patient with gluteal compartment syndrome caused by prolonged immobilization after acute alcoholic intoxication. After disease onset, the patient developed complications of crush syndrome and sciatic nerve palsy, but immediate fasciotomy improved his condition.
臀肌间室综合征是一种相对罕见的病症，主要由非创伤性原因引起，如药物滥用或酒精中毒导致的长期固定以及手术过程中的不当体位，而非创伤性原因。由于精神状态改变导致体征不佳以及临床医生诊断不当，早期诊断困难，有时会延迟或被忽视。据报道，超过一半的臀肌间室综合征病例与挤压综合征和坐骨神经麻痹有关。早期诊断和立即进行筋膜切开术对于改善功能预后是必要的。在此，我们报告一例急性酒精中毒后因长期固定导致臀肌间室综合征的患者。发病后，该患者出现了挤压综合征和坐骨神经麻痹的并发症，但立即进行筋膜切开术改善了他的病情。
