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臀肌间室综合征:三例报告及使用威克导管的处理方法

Gluteal compartment syndromes: a report of three cases and management utilizing the Wick catheter.

作者信息

Owen C A, Woody P R, Mubarak S J, Hargens A R

出版信息

Clin Orthop Relat Res. 1978 May(132):57-60.

PMID:679554
Abstract

Contusion or prolonged compression of the buttock produced severe local injury in 3 cases. Rhabdomyolysis with acute renal failure occurred in 2 of these cases, and one of them had an associated sciatic nerve palsy. The affected muscles included the gluteus maximus, gluteus medius, and the tensor fascia latae. Clinically and experimentally, these muscles were shown to be functionally enclosed within separate compartments like the peripheral limb muscles. Prompt decompression in the two cases with pressures exceeding 30 mm Hg resulted in muscle and nerve recovery.

摘要

3例因臀部挫伤或长期受压导致严重局部损伤。其中2例发生横纹肌溶解伴急性肾衰竭,其中1例伴有坐骨神经麻痹。受累肌肉包括臀大肌、臀中肌和阔筋膜张肌。临床和实验表明,这些肌肉在功能上像外周肢体肌肉一样被包裹在独立的肌间隔内。在压力超过30 mmHg的2例患者中,及时减压使肌肉和神经得以恢复。

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