足部骨筋膜室综合征伴急性肢体缺血延迟表现

Compartment syndrome of the foot associated with a delayed presentation of acute limb ischemia.

作者信息

Barshes Neal R, Pisimisis George, Kougias Panos

机构信息

Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine/Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex.

出版信息

J Vasc Surg. 2016 Mar;63(3):819-22. doi: 10.1016/j.jvs.2015.01.043. Epub 2015 Mar 7.

DOI:10.1016/j.jvs.2015.01.043

PMID:25752690

Abstract

Compartment syndrome of the leg is a well-recognized complication known to follow urgent revascularization done for acute limb ischemia, but compartment syndrome of the foot has not been reported after the ischemia-reperfusion sequence. Herein we report a case of foot fasciotomy done for compartment syndrome that occurred after urgent revascularization. We suggest that foot fasciotomies should be considered in particular circumstances of acute lower leg ischemia, such as infrapopliteal thromboembolic events, prolonged ischemia, and persistent or worsening foot symptoms that follow revascularization and calf fasciotomies.

摘要

小腿骨筋膜室综合征是一种公认的并发症，已知在对急性肢体缺血进行紧急血运重建后会出现，但在缺血再灌注后足部骨筋膜室综合征尚未见报道。在此，我们报告一例在紧急血运重建后因骨筋膜室综合征而行足部筋膜切开术的病例。我们建议，在急性小腿缺血的特定情况下，如腘动脉以下血栓栓塞事件、长时间缺血以及血运重建和小腿筋膜切开术后持续或加重的足部症状，应考虑行足部筋膜切开术。