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急性播散性蜂窝织炎筋膜切开术后康复策略:一例报告

Rehabilitation Strategies for Post-fasciotomy Recovery in Acute Spreading Cellulitis: A Case Report.

作者信息

Samal Subrat N, Rathi Bharat K, Baheti Nandini C

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 4;16(9):e68656. doi: 10.7759/cureus.68656. eCollection 2024 Sep.

DOI:10.7759/cureus.68656
PMID:39371797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11452019/
Abstract

Cellulitis is a skin condition that affects both the dermis and the subcutaneous fat. Acute compartment syndrome has been associated with streptococcal infection. The present case highlights the role of physiotherapy in rehabilitating a patient suffering from compartment syndrome due to cellulitis. A 45-year-old female complained of swelling over the left forearm for five days. After being referred to the surgery department, she underwent clinical examinations, indicating cellulitis. As part of the surgical procedure, she had a fasciotomy and split skin grafting. Her pain was assessed using the numerical pain rating scale (NPRS), gradual in onset and progressive in nature, and aggravated on movement. The patient's case demonstrates the importance of following a planned physical therapy treatment regimen to restore functional activity, range of motion (ROM), and muscle strength.

摘要

蜂窝织炎是一种影响真皮和皮下脂肪的皮肤疾病。急性骨筋膜室综合征与链球菌感染有关。本病例突出了物理治疗在康复一名因蜂窝织炎导致骨筋膜室综合征患者中的作用。一名45岁女性抱怨左前臂肿胀五天。转诊至外科后,她接受了临床检查,结果显示为蜂窝织炎。作为手术的一部分,她进行了筋膜切开术和植皮手术。使用数字疼痛评分量表(NPRS)对她的疼痛进行评估,疼痛起病缓慢且呈进行性,活动时加重。该患者的病例表明了遵循有计划的物理治疗方案以恢复功能活动、关节活动范围(ROM)和肌肉力量的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/cb10d8ae2672/cureus-0016-00000068656-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/4beeefea5d6b/cureus-0016-00000068656-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/50194fe29001/cureus-0016-00000068656-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/cb10d8ae2672/cureus-0016-00000068656-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/4beeefea5d6b/cureus-0016-00000068656-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/50194fe29001/cureus-0016-00000068656-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/cb10d8ae2672/cureus-0016-00000068656-i03.jpg

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本文引用的文献

1
Physiotherapy Rehabilitation Following Lower Extremity Split Skin Grafting in Necrotizing Fasciitis.坏死性筋膜炎下肢断层皮片移植后的物理治疗康复
Cureus. 2023 Sep 30;15(9):e46295. doi: 10.7759/cureus.46295. eCollection 2023 Sep.
2
Cellulitis risk factors for patients with primary or secondary lymphedema.原发性或继发性淋巴水肿患者的蜂窝织炎风险因素。
J Vasc Surg Venous Lymphat Disord. 2022 Jan;10(1):179-185.e1. doi: 10.1016/j.jvsv.2021.04.009. Epub 2021 May 3.
3
An 84-Year-Old Man with Acute Atraumatic Compartment Syndrome of the Upper Extremity Due to Streptococcus pyogenes Cellulitis.
一位 84 岁男性,因酿脓链球菌蜂窝织炎导致急性无创伤性上肢间隔综合征。
Am J Case Rep. 2021 Mar 12;22:e929176. doi: 10.12659/AJCR.929176.
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Cellulitis.蜂窝织炎。
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Diagnosis and management of cellulitis.蜂窝织炎的诊断与治疗。
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Soft-Tissue Infections and Their Imaging Mimics: From Cellulitis to Necrotizing Fasciitis.软组织感染及其影像模拟:从蜂窝织炎到坏死性筋膜炎
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A Case of Upper Limb Compartment Syndrome following Snake Envenomation: Measure Twice, Cut Once.一例蛇咬伤后上肢骨筋膜室综合征:三思而后行。
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Exertional compartment syndrome: review of the literature and proposed rehabilitation guidelines following surgical release.运动性骨筋膜室综合征:文献综述及手术松解后的康复指南建议
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[Evidence-based impact of cryotherapy on postoperative pain, swelling, drainage and tolerance after orthopedic surgery].[冷冻疗法对骨科手术后疼痛、肿胀、引流及耐受性的循证影响]
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