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间歇性气压治疗和弹力袜治疗后双侧下肢骨筋膜室综合征:一项治疗挑战。

Bilateral lower limb compartment syndrome after intermittent pneumatic compression and elastic stockings: a therapeutic challenge.

作者信息

Góes Adenauer Marinho de Oliveira, Aita Clarisse Gripp, Brito Sellena Polyana Soares de Souza, Feijó Fernanda Beatriz de Albuquerque, Feijó Matheus Oliveira, de Albuquerque Flávia Beatriz Araujo

机构信息

Sociedade Brasileira de Angiologia e Cirurgia Vascular SBACV, São Paulo, SP, Brasil.

Hospital Unimed Prime, Belém, PA, Brasil.

出版信息

J Vasc Bras. 2025 Aug 22;24:e20230171. doi: 10.1590/1677-5449.202301712. eCollection 2025.

Abstract

This article reports the case of a patient who developed bilateral compartment syndrome of the legs after use of intermittent pneumatic compression and compression stockings as prophylactic measures against venous thromboembolism in the perioperative period of plastic surgery. The patient was treated with fasciotomies, followed by uneventful recovery. A literature review is also presented covering diagnosis and treatment of lower limb compartment syndrome and the pathophysiological mechanisms of this clinical condition as a postoperative complication.

摘要

本文报道了一例患者,该患者在整形外科围手术期使用间歇性气动压迫装置和弹力袜作为预防静脉血栓栓塞的措施后,出现双侧腿部骨筋膜室综合征。患者接受了筋膜切开术治疗,随后顺利康复。本文还进行了文献综述,内容涵盖下肢骨筋膜室综合征的诊断和治疗以及作为术后并发症的该临床病症的病理生理机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/b6b2d291d7ad/jvb-24-e20230171-g01-en.jpg

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