深静脉血栓形成和股青肿时小腿的肌内压力
Intramuscular pressure in the lower leg in deep vein thrombosis and phlegmasia cerulae dolens.
作者信息
Qvarfordt P, Eklöf B, Ohlin P
出版信息
Ann Surg. 1983 Apr;197(4):450-3. doi: 10.1097/00000658-198304000-00013.
Abstract
The influence of deep vein thrombosis on intramuscular pressure was evaluated in 22 patients by means of the wick technique. Intramuscular pressure was measured in the anterior tibial and the deep posterior compartments in both legs before and during treatment. The intramuscular pressure was significantly (p less than 0.001) higher in the thrombosed leg than in the contralateral leg (0-16 mmHg). The increase in intramuscular pressure was related to the extension of the thrombus. Iliofemoral thrombosis caused a significantly (p less than 0.001) higher pressure (17-28 mmHg) than calf thrombosis (16-23 mmHg). A compartment syndrome was found to be a part of the entity phlegmasia cerulea dolens (rest pressure 47-56 mmHg). In the treatment of phlegmasia cerulea dolens, fasciotomy is suggested additional to other therapeutic procedures.
摘要
采用灯芯技术对22例患者进行了深静脉血栓形成对肌内压影响的评估。在治疗前和治疗期间，测量双腿胫前和后深部间隙的肌内压。血栓形成侧腿的肌内压显著高于对侧腿（0 - 16 mmHg）（p < 0.001）。肌内压升高与血栓扩展有关。髂股静脉血栓形成导致的压力（17 - 28 mmHg）显著高于小腿血栓形成（16 - 23 mmHg）（p < 0.001）。发现骨筋膜室综合征是股青肿的一部分（静息压力47 - 56 mmHg）。在股青肿的治疗中，建议在其他治疗措施的基础上进行筋膜切开术。
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本文引用的文献
1
Acute massive venous occlusion in the lower extremity.下肢急性大面积静脉阻塞
Ann Surg. 1952 Feb;135(2):262-6. doi: 10.1097/00000658-195202000-00013.
2
Acute massive venous occlusion of the lower extremities.
Surgery. 1951 Mar;29(3):355-64.
3
On the physical equilibrium of small blood vessels.论小血管的物理平衡
Am J Physiol. 1951 Feb;164(2):319-29. doi: 10.1152/ajplegacy.1951.164.2.319.
4
PHLEGMASIA CERULEA DOLENS: A 10-YEAR REVIEW.股青肿：十年回顾
Ann Surg. 1965 May;161(5):802-11. doi: 10.1097/00000658-196505000-00018.
5
OBSERVATIONS ON THE PATHOPHYSIOLOGY AND TREATMENT OF PHLEGMASIA CERULEA DOLENS WITH SPECIAL REFERENCE TO THROMBECTOMY.关于股青肿病理生理学及治疗的观察，特别提及血栓切除术
Am J Surg. 1965 Apr;109:485-92. doi: 10.1016/s0002-9610(65)80182-9.
6
THE ROLE OF THROMBECTOMY IN DEEP VENOUS THROMBOSES. INDICATIONS AND RESULTS.血栓切除术在深静脉血栓形成中的作用。适应证与结果。
J Cardiovasc Surg (Torino). 1964 Jul-Aug;5:298-312.
7
USE OF THROMBECTOMY IN THE TREATMENT OF ACUTE ILIOFEMORAL VENOUS THROMBOSIS IN FORTY-FIVE PATIENTS.45例急性髂股静脉血栓形成患者的血栓切除术治疗应用
Ann Surg. 1963 Oct;158(4):561-9. doi: 10.1097/00000658-196310000-00006.
8
Surgical management of phlegmasia cerulea dolens.股青肿的外科治疗
Arch Surg. 1963 Feb;86:256-63. doi: 10.1001/archsurg.1963.01310080080019.
9
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10
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