Lundy Douglas W., Bruggers Jennifer L.
Resurgens Orthopedics, Atlanta, GA, USA
Compartment syndrome is a surgical condition that must be assessed and treated in an urgent manner. Time is of the essence to ensure that ischemic damage is avoided or minimized. There are many reasons behind missed diagnosis, and obtunded or asensate patients are at increased risk. Delayed diagnosis and treatment of compartment syndrome results in poor outcomes that can include amputation or even death. There are few studies in the literature that offer solutions to this issue. In cases where there is significant muscle ischemia and necrosis, immediate fasciotomy and debridement are required that may even include amputation. In certain cases, monitoring the patient carefully without surgery may result in an improved outcome compared with debridement and inevitable amputation. Surgeons must be attentive to the patient’s metabolic condition to avoid injury from rhabdomyolysis including sepsis and death.
骨筋膜室综合征是一种必须紧急评估和治疗的外科病症。时间至关重要，以确保避免或最小化缺血性损伤。漏诊背后有许多原因，意识迟钝或感觉缺失的患者风险更高。骨筋膜室综合征的诊断和治疗延迟会导致不良后果，包括截肢甚至死亡。文献中很少有研究能解决这个问题。在存在严重肌肉缺血和坏死的情况下，需要立即进行筋膜切开术和清创术，甚至可能包括截肢。在某些情况下，与清创术和不可避免的截肢相比，仔细监测患者而不进行手术可能会有更好的结果。外科医生必须关注患者的代谢状况，以避免横纹肌溶解症造成的损伤，包括败血症和死亡。
