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.

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