Witschger P M, Wegmüller M
Chirurgische Klinik des Zieglerspitals, Bern.
Z Unfallchir Versicherungsmed. 1994 Apr;87(1):45-51.
Acute compartment syndrome is a serious complication of trauma to the extremities. Increases in intra-compartmental tissue pressure result from increases in fluid pressure. The indication for a fasciotomy in impending compartment syndrome depends on the tissue pressure. To facilitate the diagnosis of high intramuscular pressure in acute and chronic compartment syndrome, we have developed a pressure monitor that enables us to measure pressure simply and exactly. The pressure monitor has a very low drift, high accuracy and linearity, and is easy to handle. The clinical application of the pressure monitor proved to be a useful tool in the management of an injured limb. This article reviews the pathophysiology and mechanism of acute and chronic compartment syndrome as well as the intracompartmental pressure monitoring.
急性骨筋膜室综合征是肢体创伤的一种严重并发症。骨筋膜室内组织压力的升高是由流体压力增加所致。对于即将发生的骨筋膜室综合征，进行筋膜切开术的指征取决于组织压力。为便于诊断急慢性骨筋膜室综合征中的高肌内压力，我们研发了一种压力监测仪，它能让我们简单而准确地测量压力。该压力监测仪漂移率极低，具有高准确性和线性，且易于操作。压力监测仪的临床应用被证明是管理受伤肢体的一种有用工具。本文综述了急慢性骨筋膜室综合征的病理生理学和机制以及骨筋膜室内压力监测。
