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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.

DOI:10.1590/1677-5449.202301712
PMID:40932997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419751/
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/12419751/4398be19f614/jvb-24-e20230171-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/b6b2d291d7ad/jvb-24-e20230171-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/a1bf49937efa/jvb-24-e20230171-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/4398be19f614/jvb-24-e20230171-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/b6b2d291d7ad/jvb-24-e20230171-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/a1bf49937efa/jvb-24-e20230171-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/4398be19f614/jvb-24-e20230171-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/b6b2d291d7ad/jvb-24-e20230171-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/a1bf49937efa/jvb-24-e20230171-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/4398be19f614/jvb-24-e20230171-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/b6b2d291d7ad/jvb-24-e20230171-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/a1bf49937efa/jvb-24-e20230171-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/12419751/4398be19f614/jvb-24-e20230171-g03.jpg

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Bilateral lower limb compartment syndrome after intermittent pneumatic compression and elastic stockings: a therapeutic challenge.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。
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本文引用的文献

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Proper technique of lower extremity pulse examination: a lost art.下肢脉搏检查的正确技术：一项失传的技艺。
Int Angiol. 2023 Feb;42(1):33-36. doi: 10.23736/S0392-9590.22.04961-6. Epub 2023 Jan 12.
2
EFFICIENCY OF DEEP VENOUS THROMBOSIS PREVENTION IN PROXIMAL FEMUR FRACTURES.股骨近端骨折中深静脉血栓形成预防的有效性
Acta Ortop Bras. 2022 Dec 16;30(6):e256947. doi: 10.1590/1413-785220223006e256947. eCollection 2022.
3
Venous Thromboembolism Risk Assessment Models in Plastic Surgery: A Systematic Review and Meta-Analysis.
整形外科中的静脉血栓栓塞风险评估模型：一项系统评价与荟萃分析
Plast Reconstr Surg Glob Open. 2022 Dec 8;10(12):e4683. doi: 10.1097/GOX.0000000000004683. eCollection 2022 Dec.
4
Atraumatic Bilateral Acute Compartment Syndrome of the Lower Legs: A Review of the Literature.非创伤性双侧小腿急性骨筋膜室综合征：文献综述
Cureus. 2021 Dec 8;13(12):e20256. doi: 10.7759/cureus.20256. eCollection 2021 Dec.
5
Fasciectomy for Recurrent Chronic Exertional Compartment Syndrome of the Anterior Leg.前腿部复发性慢性运动性骨筋膜室综合征的筋膜切除术
Med Sci Sports Exerc. 2021 Aug 1;53(8):1549-1554. doi: 10.1249/MSS.0000000000002631.
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The Role of Magnetic Resonance in the Diagnosis of Chronic Exertional Compartment Syndrome.磁共振成像在慢性运动性骨筋膜室综合征诊断中的作用
Rev Bras Ortop (Sao Paulo). 2020 Dec;55(6):673-680. doi: 10.1055/s-0040-1702961. Epub 2020 Apr 2.
7
Utility of Shoelace Technique in Closure of Fasciotomy Wounds in Electric Burns.鞋带技术在电烧伤切开术伤口闭合中的应用。
J Burn Care Res. 2021 May 7;42(3):538-544. doi: 10.1093/jbcr/iraa200.
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Shoelace Technique Plus Negative-Pressure Wound Therapy Closure in Fasciotomy Wounds.筋膜切开伤口的鞋带技术加负压伤口治疗闭合术
Adv Skin Wound Care. 2020 Sep;33(9):497-500. doi: 10.1097/01.ASW.0000672492.38463.58.
9
Mechanical compression augments venous flow equal to intermittent pneumatic compression.机械压迫可增强静脉血流，与间歇性气动压迫相等。
J Orthop Res. 2020 Nov;38(11):2390-2395. doi: 10.1002/jor.24664. Epub 2020 Mar 30.
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