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一例蛇咬伤后上肢骨筋膜室综合征:三思而后行。

A Case of Upper Limb Compartment Syndrome following Snake Envenomation: Measure Twice, Cut Once.

作者信息

Thomas D K, Budhoo E J, Mencia M M, Ali T F, Santana D

机构信息

Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies, St Augustine; Port-of-Spain General Hospital, Port-of-Spain, Trinidad and Tobago, West Indies;54 Plover Street, Lange Park, Chaguanas, Trinidad and Tobago, West Indies.

Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies, St Augustine; Port-of-Spain General Hospital, Port-of-Spain, Trinidad and Tobago, West Indies.

出版信息

West Indian Med J. 2014 Aug;63(4):384-7. doi: 10.7727/wimj.2013.261. Epub 2014 May 19.

Abstract

We report a case of a 16-year old male patient who sustained a poisonous bite from a mapepire balsain snake on the dorsum of his left hand. The subject presented within one hour of envenomation and subsequently developed clinical features of acute compartment syndrome in the involved upper limb. Early diagnosis and emergency fasciotomy effectively treated his condition. Aggressive physiotherapy coupled with this ensured best functional outcome.

摘要

我们报告一例16岁男性患者,其左手背部被马佩皮尔巴尔桑蛇咬伤中毒。该患者在中毒后1小时内就诊,随后受累上肢出现急性骨筋膜室综合征的临床特征。早期诊断和急诊筋膜切开术有效治疗了他的病情。积极的物理治疗加上这一点确保了最佳的功能预后。

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本文引用的文献

1
Acute compartment syndrome of the upper extremity.上肢急性间隔综合征。
J Am Acad Orthop Surg. 2011 Jan;19(1):49-58. doi: 10.5435/00124635-201101000-00006.
4
Acute Compartment Syndrome: Update on Diagnosis and Treatment.急性骨筋膜室综合征:诊断与治疗的最新进展
J Am Acad Orthop Surg. 1996 Jul;4(4):209-218. doi: 10.5435/00124635-199607000-00005.
5
Compartmental syndrome due to viper bite.蝰蛇咬伤所致骨筋膜室综合征
Arch Orthop Trauma Surg. 1991;110(3):175-7. doi: 10.1007/BF00395805.

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