• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

血液透析患者因轻微创伤后血肿导致的急性骨筋膜室综合征：两例报告

Acute compartment syndrome caused by hematoma with minor trauma in hemodialysis patients: Two case reports.

作者信息

Morisaki Shinsuke, Kobayashi Yusuke, Tsuchida Shinji, Takahashi Kenji

机构信息

Department of Orthopaedics, Saiseikai Shiga Hospital, Ohashi 2-4-1, Ritto, Shiga 520-3046, Japan.

Department of Orthopaedics, Saiseikai Shiga Hospital, Ohashi 2-4-1, Ritto, Shiga 520-3046, Japan.

出版信息

Int J Surg Case Rep. 2023 Aug;109:108594. doi: 10.1016/j.ijscr.2023.108594. Epub 2023 Aug 4.

DOI:10.1016/j.ijscr.2023.108594
PMID:37566989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10432788/
Abstract

INTRODUCTION

Acute compartment syndrome is a condition that requires an immediate diagnosis and surgical management. Compartment syndrome related to hematoma caused by minor trauma in hemodialysis patients is rarely reported.

CASE PRESENTATION

We present two cases of hemodialysis patients diagnosed with compartment syndrome of the forearm due to hematoma caused by the disruption of blood vessels after a minor trauma. The removal of the hematoma and fasciotomy with adequate skin care significantly improved soft tissue heeling with no functional impairment.

DISCUSSION

A long-term history of hemodialysis may increase the vascular vulnerability and have the potential risk of disruption by minor trauma. When the blood vessel is disrupted, a hematoma is formed and necessitating emergent surgical intervention.

CONCLUSION

Surgeons should be aware of the potential risk of damage to blood vessels with minor trauma that results in the formation of a hematoma and compartment syndrome in hemodialysis patients.

摘要

引言

急性骨筋膜室综合征是一种需要立即诊断和手术治疗的病症。血液透析患者因轻微创伤导致血肿相关的骨筋膜室综合征鲜有报道。

病例报告

我们报告两例血液透析患者，因轻微创伤后血管破裂导致血肿，被诊断为前臂骨筋膜室综合征。清除血肿并行筋膜切开术，同时给予充分的皮肤护理，显著改善了软组织愈合，且未出现功能障碍。

讨论

长期血液透析病史可能会增加血管的脆弱性，存在因轻微创伤而破裂的潜在风险。血管破裂时会形成血肿，需要紧急手术干预。

结论

外科医生应意识到，轻微创伤可能会损伤血液透析患者的血管，导致血肿形成和骨筋膜室综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/271a0c4d1bb1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/03de18a04055/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/aca032d38c87/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/487e53067ef0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/b39693dc463a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/271a0c4d1bb1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/03de18a04055/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/aca032d38c87/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/487e53067ef0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/b39693dc463a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8934/10432788/271a0c4d1bb1/gr5.jpg

相似文献

1
Acute compartment syndrome caused by hematoma with minor trauma in hemodialysis patients: Two case reports.血液透析患者因轻微创伤后血肿导致的急性骨筋膜室综合征：两例报告
Int J Surg Case Rep. 2023 Aug;109:108594. doi: 10.1016/j.ijscr.2023.108594. Epub 2023 Aug 4.
2
Acute Compartment Syndrome of the Forearm Secondary to Hematoma after Playing Golf.高尔夫运动后因血肿继发的前臂急性骨筋膜室综合征
J Hand Surg Asian Pac Vol. 2019 Mar;24(1):93-95. doi: 10.1142/S2424835519720020.
3
Acute forearm compartment syndrome secondary to local arterial injury after penetrating trauma.穿透性创伤后因局部动脉损伤继发的急性前臂骨筋膜室综合征。
J Trauma. 2009 Apr;66(4):989-93. doi: 10.1097/TA.0b013e31818c10e3.
4
Subfascial hematoma progressed to arm compartment syndrome due to a nontransposed brachiobasilic fistula.
Am J Kidney Dis. 2006 Dec;48(6):990-2. doi: 10.1053/j.ajkd.2006.08.020.
5
Forearm Compartment Syndrome Concomitant with Pseudoaneurysm of the Anterior Interosseous Artery after Minor Penetrating Injury.轻微穿透伤后前臂骨筋膜室综合征合并骨间前动脉假性动脉瘤
J Hand Surg Asian Pac Vol. 2018 Sep;23(3):395-398. doi: 10.1142/S2424835518720220.
6
Acute compartment syndrome of the forearm that occurred after transradial intervention and was not caused by bleeding or hematoma formation.前臂经桡动脉介入治疗后发生的急性间隔综合征，并非由出血或血肿形成引起。
Catheter Cardiovasc Interv. 2010 Feb 15;75(3):362-5. doi: 10.1002/ccd.22282.
7
Thigh compartment syndrome in urban trauma: bullets to blame, not collisions.城市创伤中的股部间隔综合征：归咎于子弹，而非碰撞。
J Surg Res. 2013 Dec;185(2):748-52. doi: 10.1016/j.jss.2013.07.003. Epub 2013 Jul 24.
8
Gluteal Compartment Syndrome Secondary to Pelvic Trauma.骨盆创伤继发臀肌间室综合征
Case Rep Orthop. 2016;2016:2780295. doi: 10.1155/2016/2780295. Epub 2016 Aug 8.
9
Dichotomy in Fasciotomy: Practice Patterns Among Trauma/Acute Care Surgeons With Performing Fasciotomy With Peripheral Arterial Repair.筋膜切开术的二分法：创伤/急性护理外科医生在进行筋膜切开术并进行外周动脉修复时的实践模式。
Am Surg. 2020 Aug;86(8):1010-1014. doi: 10.1177/0003134820942138.
10
Surgical demographics of acute thigh compartment syndrome.急性大腿间隔综合征的手术人口统计学特征。
Injury. 2022 Oct;53(10):3481-3485. doi: 10.1016/j.injury.2022.07.035. Epub 2022 Jul 25.

本文引用的文献

1
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南：更新共识手术病例报告（SCARE）指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
2
Diagnosis and treatment of acute extremity compartment syndrome.急性肢体间隔综合征的诊断和治疗。
Lancet. 2015 Sep 26;386(10000):1299-1310. doi: 10.1016/S0140-6736(15)00277-9.
3
Acute compartment syndrome of the hand.
J Hand Surg Am. 2015 Jun;40(6):1213-6; quiz 1216. doi: 10.1016/j.jhsa.2015.01.034. Epub 2015 Mar 20.
4
Acute forearm compartment syndrome following haemodialysis access fistula puncture in uraemia.尿毒症患者血液透析通路动静脉内瘘穿刺后发生急性前臂骨筋膜室综合征
ANZ J Surg. 2016 Oct;86(10):785-789. doi: 10.1111/ans.12701. Epub 2014 May 30.
5
Acute forearm compartment syndrome associated with dialysis access bleeding.与透析通路出血相关的急性前臂骨筋膜室综合征
Nephrology (Carlton). 2012 Sep;17(7):665-6. doi: 10.1111/j.1440-1797.2012.01588.x.
6
Compartment syndrome of the upper extremity.上肢骨筋膜室综合征
J Hand Surg Am. 2011 Mar;36(3):544-59; quiz 560. doi: 10.1016/j.jhsa.2010.12.008.
7
Compartment syndromes of the hand.手部骨筋膜室综合征
J Bone Joint Surg Am. 1996 Oct;78(10):1515-22. doi: 10.2106/00004623-199610000-00009.
8
Acute compartment syndromes resulting from anticoagulant treatment.抗凝治疗导致的急性骨筋膜室综合征
BMJ. 1992 Dec 12;305(6867):1474-5. doi: 10.1136/bmj.305.6867.1474.