Holden C E
J Bone Joint Surg Br. 1979 Aug;61-B(3):296-300. doi: 10.1302/0301-620X.61B3.479252.
Ischaemia is a rare complication of injury to a limb but must be excluded in every case. Two distinct types occur: Type I, where a proximal arterial injury gives rise to ischaemia distally; and Type II, where a direct injury gives rise to ischaemia at the site of the injury. Whatever the nature of the insult, an ischaemic contracture only develops as a result of swelling of the soft tissues where these soft tissues are contained in un unyielding osteofascial compartment. This secondary ischaemia can only be relieved by a timely fasciotomy. The diagnosis of ischaemia in an injured limb and the indications to operate on it can usually be made on clinical grounds alone.
缺血是肢体损伤的一种罕见并发症，但每种情况都必须排除。缺血有两种不同类型：I型，近端动脉损伤导致远端缺血；II型，直接损伤导致损伤部位缺血。无论损伤的性质如何，缺血性挛缩仅在软组织肿胀时发生，这些软组织被包裹在坚硬的骨筋膜室内。这种继发性缺血只能通过及时的筋膜切开术来缓解。受伤肢体缺血的诊断及其手术指征通常仅凭临床依据即可做出。
