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胫骨骨折患者的前侧间隔压力

Anterior compartment pressures in patients with tibial fractures.

作者信息

Halpern A A, Nagel D A

出版信息

J Trauma. 1980 Sep;20(9):786-90. doi: 10.1097/00005373-198009000-00013.

DOI:10.1097/00005373-198009000-00013
PMID:7411668
Abstract

Twenty patients with tibial fractures had measurements of tissue pressure in the anterior compartment acutely and for the first 72 hours following injury. Measurements were made using a mercury monometric indicator similar to that described by Whitesides. Patients with fractures of the proximal third of the tibia, those with displacement of the fracture fragments greater than 50%, and those whose injury was the result of high-energy trauma developed higher compartment pressures and we conclude that such patients should be observed closely for the development of a compartment syndrome. In normotensive patients in this series fasciotomy was not necessary for tissue pressures less than 50 mm Hg in the absence of any sensory or motor compromise.

摘要

20例胫骨骨折患者在受伤后即刻及伤后72小时内对其前侧骨筋膜室的组织压力进行了测量。测量采用了一种类似于Whitesides所描述的汞测压指示剂。胫骨近端三分之一骨折、骨折碎片移位大于50%以及因高能创伤导致损伤的患者,其骨筋膜室内压力更高,我们得出结论,应对这类患者密切观察骨筋膜室综合征的发生情况。在本系列血压正常的患者中,若骨筋膜室压力低于50mmHg且不存在任何感觉或运动功能受损,则无需进行筋膜切开术。

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The effect of focused instruction on orthopaedic surgery residents' ability to objectively measure intracompartmental pressures in a compartment syndrome model.针对性教学对骨科住院医师在骨筋膜室综合征模型中客观测量骨筋膜室内压力能力的影响。
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[Diagnosis and differential diagnosis of the compartment syndrome].
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