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[骨筋膜室综合征的病因、病理生理学及解剖位置]

[Etiology, pathophysiology and anatomical location of the compartment syndrome].

作者信息

Szyszkowitz R, Reschauer R

出版信息

Langenbecks Arch Chir. 1982;358:215-9. doi: 10.1007/BF01271785.

Abstract

Tissue pressure elevation may be caused by diminution of the compartment (operative closure of fascial defects, the presence of tight bandages or air-splints or by prolonged localized external pressure, as in unconscious patients), and/or by an increase in its contents (hemorrhage or the various conditions causing increased capillary permeability, e.g. postischemic swelling, fractures, surgical orthopedic procedures) or increased capillary pressure, e.g. after exercises. Additional elevation of an injured limb may cause a compartmental syndrome by lowering capillary pressure, especially in shock patients.

摘要

组织压力升高可能由以下原因引起

筋膜间隔缩小(如筋膜缺损的手术闭合、使用紧绷绷带或空气夹板,或如昏迷患者那样长时间局部施加外部压力),和/或其内容物增加(出血或导致毛细血管通透性增加的各种情况,如缺血后肿胀、骨折、外科骨科手术),或毛细血管压力增加,如运动后。受伤肢体的额外抬高可能通过降低毛细血管压力导致筋膜间隔综合征,尤其是在休克患者中。

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