Department of Neurology, District Hospital Pardubice, Czech Republic.
Department of Radiology, Faculty of Health-Care Study, Pardubice University, District Hospital Pardubice, Czech Republic.
Acta Medica (Hradec Kralove). 2020;63(3):124-127. doi: 10.14712/18059694.2020.26.
Acute compartment syndrome occurs most frequently in connection with injuries, terminal or chemical damage of tissues, ischemia, the activity of toxins or in patients with tissue ischemia or muscle necrosis. Clinical findings have found pronounced pain, followed by paresthesias, pallor, and paresis. Decreased pulsation of arteries has also been a frequent finding. In severe forms decompressive fasciotomy has been indicated within the first 12-24 hours after diagnosis. In the following paper, the authors present the case report of a 68-year woman who swallowed 1500 mg of trazodone as an attempt at suicide. After 12 hours her husband found her lying on the carpet with compression of the left arm under the trunk. The patient was treated conservatively and followed clinically, examined by ultrasonography, EMG and finally MRI.
急性间隔综合征最常发生于损伤、组织终末期或化学损伤、缺血、毒素活性或伴有组织缺血或肌肉坏死的患者。临床发现有明显的疼痛，随后出现感觉异常、苍白和无力。动脉搏动减弱也是常见的发现。在严重的情况下，诊断后 12-24 小时内需要进行减压筋膜切开术。在下面的论文中，作者报告了一例 68 岁女性的病例，她试图自杀吞下了 1500 毫克曲唑酮。12 小时后，她的丈夫发现她躺在地毯上，左臂被压在躯干下。患者接受了保守治疗，并进行了临床随访，超声、肌电图检查，最后进行了 MRI 检查。
