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小腿骨筋膜室综合征的治疗

The treatment of compartment syndromes of the leg.

作者信息

Rorabeck C H

出版信息

J Bone Joint Surg Br. 1984 Jan;66(1):93-7. doi: 10.1302/0301-620X.66B1.6693486.

DOI:10.1302/0301-620X.66B1.6693486
PMID:6693486
Abstract

Eighteen patients with acute compartment syndromes below the knee were treated with four-compartment fasciotomies using the double-incision technique. Pre-operative tissue pressure measurements ranged from 28 to 47 mmHg. If fasciotomy was performed within 24 hours of the onset of clinical symptoms and signs, a good result was almost always achieved. It is recommended that tibial fractures complicated with a compartment syndrome should be treated with some form of operative stabilisation of the fracture at the time of surgical fasciotomies.

摘要

18例膝下急性骨筋膜室综合征患者采用双切口技术行四室筋膜切开术治疗。术前组织压力测量值范围为28至47 mmHg。如果在临床症状和体征出现后24小时内进行筋膜切开术,几乎总能取得良好效果。建议对于合并骨筋膜室综合征的胫骨骨折,应在手术行筋膜切开术时采用某种形式的骨折手术固定治疗。

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