Gleich J, Fürmetz J, Kamla C, Pedersen V, Böcker W, Keppler A M
Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, Campus Innenstadt und Großhadern, Marchioninistraße 17, 81377, München, Deutschland.
Herzchirurgische Klinik und Poliklinik, Klinikum der Universität München, München, Deutschland.
Unfallchirurg. 2020 Jun;123(6):496-500. doi: 10.1007/s00113-020-00792-9.
This article reports the case of a 42-year-old male patient, who sustained a gluteal compartment syndrome after drug-induced immobilization with subsequent rhabdomyolysis and sciatic nerve palsy. Unlike compartment syndrome of the forearm or lower leg, this is a rare condition. After immediate surgical decompression and installation of negative pressure wound treatment, hemofiltration in acute renal failure could be averted using forced diuresis. The sensorimotor function of the lower extremity improved already after the first treatment and secondary wound closure was possible after 1 week. The patient was discharged 11 days after admission with complete recovery of sensorimotor and renal functions.
本文报道了一例42岁男性患者的病例，该患者在药物诱导的制动后发生臀肌间室综合征，随后出现横纹肌溶解和坐骨神经麻痹。与前臂或小腿的间室综合征不同，这是一种罕见的病症。在立即进行手术减压并采用负压伤口治疗后，通过强制利尿避免了急性肾衰竭时的血液滤过。首次治疗后下肢的感觉运动功能即已改善，1周后可行二期伤口缝合。患者入院11天后出院，感觉运动功能和肾功能完全恢复。
