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“臀部疼痛”:机器人辅助部分肾切除术后臀肌间隔综合征 1 例报告。

'A pain in the buttock': A case report of gluteal compartment syndrome after robotic partial nephrectomy.

机构信息

Department of Anesthesia, Jewish General Hospital, McGill University, Montreal, QC, Canada.

Lady Davis Research Institute, Jewish General Hospital, Montreal, QC, Canada.

出版信息

J Perioper Pract. 2023 Sep;33(9):263-268. doi: 10.1177/17504589221092563. Epub 2022 Apr 29.

Abstract

Acute compartment syndrome is a surgical emergency that, if unrecognised, leads to tissue and muscle ischaemia, necrosis, multi-organ failure and even death. Gluteal compartment syndrome is a rare type of compartment syndrome that typically occurs as a sequela of trauma, and its presentation may be difficult to recognise. We describe a case of a patient who developed gluteal compartment syndrome following a prolonged renal surgery in lateral decubitus position. Our case report aims to raise clinicians' awareness to consideration of this rare syndrome in patients presenting with lower extremity or back pain after prolonged surgery.

摘要

急性间隔综合征是一种外科急症,如果不及时识别,会导致组织和肌肉缺血、坏死、多器官衰竭甚至死亡。臀肌间隔综合征是一种罕见的间隔综合征,通常是创伤的后遗症,其表现可能难以识别。我们描述了一例患者在侧卧位行长时间肾脏手术后发生臀肌间隔综合征的病例。我们的病例报告旨在提高临床医生对长时间手术后出现下肢或背痛患者中这种罕见综合征的认识。

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