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一例由iPad引发的上肢骨筋膜室综合征罕见病例

An Unusual Case of Compartment Syndrome of the Upper Extremity Caused by an iPad.

作者信息

Jyala Abhilasha, Shah Niel, Ali Nisha

机构信息

Internal Medicine, BronxCare Health System, Bronx, USA.

出版信息

Cureus. 2021 Apr 13;13(4):e14457. doi: 10.7759/cureus.14457.

Abstract

Acute compartment syndrome develops when intracompartmental pressure increases either due to intrinsic or extrinsic causes. Increase in compartment pressure eventually can lead to impaired tissue perfusion followed by tissue death if no urgent intervention is performed. Patients with acute compartment syndrome usually present with pain out of proportion to apparent injury. It can cause rhabdomyolysis, myoglobinuria, and eventually acute renal failure. The definite treatment is fasciotomy in a timely manner. We here report a very interesting case of acute compartment syndrome in a young patient cause by pressure over his axilla by an iPad.

摘要

急性骨筋膜室综合征是由于内在或外在原因导致骨筋膜室内压力升高而引发的。如果不进行紧急干预,骨筋膜室内压力的升高最终会导致组织灌注受损,进而导致组织坏死。急性骨筋膜室综合征患者通常表现出与明显损伤程度不相称的疼痛。它可导致横纹肌溶解、肌红蛋白尿,并最终导致急性肾衰竭。明确的治疗方法是及时进行筋膜切开术。我们在此报告一例非常有趣的急性骨筋膜室综合征病例,该病例发生在一名年轻患者身上,病因是iPad对其腋窝施加的压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4e0/8117944/cfe917d525c6/cureus-0013-00000014457-i01.jpg

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