Fletcher M D
Department of Orthopaedic, Dawson Creek Hospital, Dawson Creek BC Canada.
J Orthop Case Rep. 2015 Apr-Jun;5(2):75-7. doi: 10.13107/jocr.2250-0685.281.
Compartment syndrome of the arm is rare, and delay in diagnosis or treatment can be devastating. A case is reported of compartment syndrome of the whole arm occurring in a remote location and arrival at hospital 15 hours after injury with good results despite delayed treatment.
A 26 year old male presented with a combined crush injury and compartment syndrome of the arm, with delay in presentation due to remote injury and delay in rescue. Late (>16 hours)fasciotomy was performed with retention of the upper arm, elbow and proximal forearm with good residual function.
Despite significant delay in treatment of compartment syndrome of the arm, useful function and tissue can be preserved with adequate decompression.
手臂骨筋膜室综合征较为罕见，诊断或治疗延迟可能会造成严重后果。本文报告了一例发生在偏远地区的全臂骨筋膜室综合征病例，患者受伤15小时后才抵达医院，尽管治疗延迟，但仍取得了良好效果。
一名26岁男性因手臂挤压伤合并骨筋膜室综合征就诊，因受伤地点偏远及救援延迟导致就诊延迟。在受伤16小时后进行了晚期筋膜切开减压术，保留了上臂、肘部和前臂近端，术后残留功能良好。
尽管手臂骨筋膜室综合征的治疗存在显著延迟，但通过充分减压仍可保留有用的功能和组织。
