Pereira de Godoy José Maria, de Fátima Guerreiro Godoy Maria
Cardiology and Cardiovascular Surgery Department, Medical School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
Clínica Godoy, São José do Rio Preto, SP, Brazil.
Case Rep Vasc Med. 2018 May 2;2018:2679358. doi: 10.1155/2018/2679358. eCollection 2018.
The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in the right leg, swelling, and difficulty bending and stretching the sole of the foot and the knee. A physical examination detected edema and increased tension in the anterior, lateral, and posterior compartments. Treatment using intermittent massage of the leg during the evaluation of the patient was chosen in an attempt to stimulate lymphatic and venous drainage. After a few minutes of stimulation, there was significant improvement in the pain and edema. In 40 minutes, there was total reduction of the pain in the posterior and lateral compartments and improvement of over 50% in the anterior compartment. After this, the patient started to bend the knee without pain and bend the sole of the foot with slight pain. On the following day, the patient was walking around the hospital ward without difficulty. It seems that intermittent massage is a therapeutic option in selected cases of compartment syndrome.
报道了一名54岁心脏病患者的病例，该患者因腿部突发疼痛并伴有水肿、感觉异常和发冷而入院。诊断为下肢动脉栓塞，患者接受了双侧栓子切除术。患者出现烧灼感、右腿感觉过敏、肿胀以及足底部和膝盖屈伸困难。体格检查发现前侧、外侧和后侧肌间隔水肿且张力增加。在对患者进行评估期间，选择采用间歇性腿部按摩治疗，试图刺激淋巴和静脉引流。刺激几分钟后，疼痛和水肿有显著改善。40分钟后，后侧和外侧肌间隔疼痛完全缓解，前侧肌间隔改善超过50%。此后，患者开始屈膝时无痛，屈足底时仅有轻微疼痛。第二天，患者在医院病房内行走自如。间歇性按摩似乎是特定病例中骨筋膜室综合征的一种治疗选择。
