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8岁女性蛇咬伤72小时后急性骨筋膜室综合征晚期的成功治疗。病例报告。

Successful management of late stage of acute compartment syndrome after 72 h snake bite in 8-year-old female. A case report.

作者信息

Brimo Alsaman Muhamad Zakaria, Toutounji Zakaria, Arab Rami, Al Sam Saeb Osama, Alhaj Akil Mohamad Anas, Kenno Mahmoud Fadel, Al Ballan Mohammad Awad, Roumiah Diaa, Alhamad Qutyba, Muqayyd Mohammed Sinan, Remmo Kheshman Rashed

机构信息

Vascular Surgery Department, Al-Razi Hospital, Aleppo, Syria.

Faculty of medicine, University of Aleppo, Aleppo, Syria.

出版信息

Trauma Case Rep. 2023 Aug 22;47:100922. doi: 10.1016/j.tcr.2023.100922. eCollection 2023 Oct.

Abstract

One of the most serious complications of snakebite is compartment syndrome (CS), Signs of CS include paresthesia in the distal part and pain that is out of proportion to the severity of the injury, Management involves improving the general condition, and fasciotomy has been found to be effective. An 8-year-old girl was referred to the internal emergency department in our hospital 72 h after a snake bite. She was unconscious, in poor general condition, and had a high fever. Edema was present throughout the right lower limb, extending to the abdomen, with signs of cellular necrosis (blackening with bubbles) on the right foot. The diagnosis of CS was made, and the patient underwent fasciotomy after improving the general condition. Although snake bites are rare, surgeons should be concerned about life-threatening and limb-threatening complications. CS can be effectively treated with fasciotomy. Additionally, it is important to emphasize the significance of daily dressing and regular follow-up for achieving the best results.

摘要

蛇咬伤最严重的并发症之一是骨筋膜室综合征(CS),CS的体征包括远端感觉异常以及与损伤严重程度不相称的疼痛。治疗包括改善一般状况,并且已发现筋膜切开术是有效的。一名8岁女孩在被蛇咬伤72小时后被转诊至我院内科急诊科。她昏迷不醒,一般状况较差,且高烧不退。右下肢全段出现水肿,并蔓延至腹部,右脚有细胞坏死迹象(发黑并伴有水泡)。确诊为CS后,患者在改善一般状况后接受了筋膜切开术。尽管蛇咬伤很少见,但外科医生应关注危及生命和肢体的并发症。筋膜切开术可有效治疗CS。此外,强调每日换药和定期随访对于取得最佳效果的重要性也很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae7/10471994/6655d6b151d8/gr1.jpg

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