Zimmerman David C, Kapoor Tushar, Elfond Mikhail, Scott Paul
Department of Osteopathic Medicine, Nassau University Medical Center, East Meadow, New York 11544, USA.
J Emerg Med. 2013 Jan;44(1):e53-6. doi: 10.1016/j.jemermed.2011.09.031. Epub 2012 Jun 5.
Compartment syndrome is a condition in which elevated pressures within an osseofascial compartment cause vascular compromise, leading to ischemia and possible necrosis. It commonly occurs after a traumatic event (e.g., fracture, crush, burn); however, compartment syndrome can happen spontaneously and in any compartment of the body. The objective of this case study is to present the signs and symptoms of upper arm compartment syndrome along with a review of the diagnosis and treatment.
A 75-year-old man receiving anticoagulation for atrial fibrillation developed compartment syndrome in the extensor compartment of his upper arm, diagnosed by clinical examination with the aid of a venous duplex ultrasound study.
Although uncommon, spontaneous compartment syndrome can occur, and prompt recognition and intervention are limb- and possibly life-saving.
骨筋膜室综合征是一种骨筋膜室内压力升高导致血管受压，进而引起缺血及可能坏死的病症。它通常发生在外伤事件（如骨折、挤压伤、烧伤）之后；然而，骨筋膜室综合征也可能自发出现，且可发生于身体的任何部位。本病例研究的目的是介绍上臂骨筋膜室综合征的体征和症状，并对其诊断和治疗进行综述。
一名75岁因心房颤动接受抗凝治疗的男性，其上臂伸肌间室发生了骨筋膜室综合征，通过临床检查并借助静脉双功超声检查得以诊断。
尽管自发性骨筋膜室综合征并不常见，但仍可能发生，及时识别和干预可挽救肢体甚至生命。
