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[未被发现的骨筋膜室综合征所致晚期损害。法医鉴定]

[Late damage caused by an undetected compartment syndrome. Forensic evaluation].

作者信息

Schenk E, Koch R D

出版信息

Zentralbl Chir. 1987;112(2):115-9.

PMID:3577445
Abstract

A brief account is given of the aetiology and pathophysiology of the compartmental syndrome. Without decompression, acute compartmental syndrome causes irreversible muscle necrosis after six hours. Immediate diagnosis and therapeutic action are, therefore, imperative. Chronic courses are rare and are, probably, not unambiguously identifiable. Compartmental syndrome of the anterior tibial zone, when misinterpreted and taken for a muscular hernia, may lead to the development of acute compartmental syndrome with all its complications, once the fascia has been closed. Surgical opinion is discussed on the basis of the above case history.

摘要

本文简要介绍了骨筋膜室综合征的病因及病理生理学。若不进行减压,急性骨筋膜室综合征在6小时后会导致不可逆的肌肉坏死。因此,必须立即做出诊断并采取治疗措施。慢性病程较为罕见,可能也无法明确识别。胫前区骨筋膜室综合征若被误诊为肌疝,一旦缝合筋膜,可能会引发急性骨筋膜室综合征及其所有并发症。基于上述病例对手术观点进行了讨论。

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