Uslu M M, Altun N S, Cila E, Atik O S
Department of Orthopaedics and Traumatology, Gazi University School of Medicine, Ankara, Turkey.
Arch Orthop Trauma Surg. 1995;114(4):229-32. doi: 10.1007/BF00444269.
This study investigated the relevance of a mangled extremity severity score (MESS) to the evaluation of intracompartmental pressure in injured patients. We measured intracompartmental pressures with a modification of the Whitesides method and compared these values with MESS in 27 patients after trauma. For 5 of them fasciotomy was necessary to relieve high intracompartmental pressures. In our series MESS seemed to correlate with intracompartmental pressure values (r = 0.733, P < 0.05). We conclude that the MESS system provides objective criteria in determining the risk of a compartment syndrome.
本研究调查了肢体严重损伤评分（MESS）与评估受伤患者骨筋膜室内压力的相关性。我们采用改良的Whitesides方法测量骨筋膜室内压力，并将这些值与27例创伤患者的MESS进行比较。其中5例患者需要进行筋膜切开术以缓解骨筋膜室内的高压。在我们的研究系列中，MESS似乎与骨筋膜室内压力值相关（r = 0.733，P < 0.05）。我们得出结论，MESS系统为确定骨筋膜室综合征的风险提供了客观标准。
