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急性和慢性骨筋膜室综合征:了解何时需迅速行动。

Acute and chronic compartment syndromes: know when to act fast.

作者信息

McLaughlin Nancy, Heard Hank, Kelham Steven

机构信息

Nancy McLaughlin is an assistant program director of the PA program at the Philadelphia (Pa.) College of Osteopathic Medicine. Hank Heard is an assistant clinical professor in the PA program at Mercer University in Atlanta, Ga. Steven Kelham is a chief PA at Forsyth Street Orthopaedics in Macon, Ga., assistant team physician for Mercer University athletics, and a clinical preceptor in orthopedics in the Mercer University PA program. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2014 Jun;27(6):23-6. doi: 10.1097/01.JAA.0000446999.10176.13.

Abstract

Compartment syndrome is a fairly common condition noted in patients with fractures or crush injuries to the extremities (acute compartment syndrome) and in athletes (chronic compartment syndrome). Compartments bound by fascia are found in the extremities, buttocks, and abdomen; conditions that cause intracompartmental swelling and hypertension can lead to ischemia and limb loss. This article reviews diagnosis of the problem, monitoring of compartment pressure, and appropriate treatment.

摘要

骨筋膜室综合征是一种在四肢骨折或挤压伤患者(急性骨筋膜室综合征)以及运动员(慢性骨筋膜室综合征)中较为常见的病症。由筋膜包裹的骨筋膜室存在于四肢、臀部和腹部;导致骨筋膜室内肿胀和压力升高的情况可引发缺血甚至肢体丧失。本文回顾了该问题的诊断、骨筋膜室压力监测以及恰当的治疗方法。

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