Masini Brendan D, Racusin Adam W, Wenke Joseph C, Gerlinger Tad L, Hsu Joseph R
U.S. Army Institute of Surgical Research, Ft. Sam Houston, TX, USA.
J Surg Orthop Adv. 2013 Spring;22(1):42-9. doi: 10.3113/jsoa.2013.0042.
Acute compartment syndrome of the thigh is a rare clinical entity often caused by high-energy trauma and presenting with a spectrum of associated injuries. Service members in combat are at risk for these causative mechanisms. This study presents a large cohort of thigh compartment syndrome combat casualties and investigates the injury mechanisms, associated mortality, and complications related to fasciotomies. Blasts were the most frequent injury mechanism, overall mortality was 23%, burns were associated with a higher mortality, and fasciotomy morbidity was reported by all respondents. The mortality was similar to civilian cohorts with thigh compartment syndrome and was isolated to patients with high Injury Severity Scores. While mortality associated with this injury is high, it is likely related to associated injury patterns rather than the compartment syndrome itself. Thigh compartment fasciotomies carried significant morbidity, consistent with civilian trauma publications.
大腿急性骨筋膜室综合征是一种罕见的临床病症，常由高能创伤引起，并伴有一系列相关损伤。参战军人有这些致病机制的风险。本研究呈现了一大群大腿骨筋膜室综合征战斗伤员，并调查了损伤机制、相关死亡率以及与筋膜切开术相关的并发症。爆炸是最常见的损伤机制，总体死亡率为23%，烧伤与更高的死亡率相关，所有受访者均报告了筋膜切开术的发病率。死亡率与患有大腿骨筋膜室综合征的 civilian cohorts 相似，且仅限于损伤严重程度评分高的患者。虽然与这种损伤相关的死亡率很高，但可能与相关的损伤模式有关，而不是骨筋膜室综合征本身。大腿骨筋膜室切开术有显著的发病率，这与 civilian trauma 出版物一致。 （注：“civilian cohorts”和“civilian trauma”中的“civilian”在上下文中含义不太明确，可能是指平民相关群体或平民创伤情况，但由于不清楚确切所指，只能按原文翻译）
