Koman L A, Hardaker W T, Goldner J L
South Med J. 1981 Mar;74(3):303-9. doi: 10.1097/00007611-198103000-00014.
We prospectively analyzed 45 patients with suspected compartment syndromes involving 55 extremities to determine the role of the wick catheter in their management. The wick catheter technic allows the continuous monitoring of interstitial pressure and provides an objective assessment of compartment pressure. Indications for catheter use, technics for catheter preparation and insertion, and guidelines for the timing of fasciotomy are presented. Clinical evaluation of every extremity injury must be tempered by suspicion and vigilance to detect compartment syndromes early enough to prevent ischemic contracture. Providing reliable and accurate pressure determinations without significant morbidity, the wick allows continuous monitoring of interstitial compartmental pressure and objective indications for fasciotomy.
我们前瞻性地分析了45例疑似骨筋膜室综合征患者的55个肢体，以确定灯芯导管在其治疗中的作用。灯芯导管技术可连续监测组织间压力，并能对骨筋膜室压力进行客观评估。文中介绍了导管使用的适应证、导管准备和插入技术以及筋膜切开术的时机指南。对每例肢体损伤的临床评估都必须保持怀疑和警惕，以便尽早发现骨筋膜室综合征，防止缺血性挛缩。灯芯导管能在不造成明显并发症的情况下提供可靠且准确的压力测定结果，可连续监测骨筋膜室内压力，并为筋膜切开术提供客观指征。
