Schnall S B, Holtom P D, Silva E
Department of Orthopaedics, University of Southern California, School of Medicine, Los Angeles.
Clin Orthop Relat Res. 1994 Sep(306):128-31.
Compartment syndrome is a potentially devastating entity associated with a great variety of injuries, but to the authors' knowledge there are no known reports of infection documented as a cause. A retrospective review of 263 patients with upper extremity infections admitted to the orthopaedic infection ward during 1992 was conducted to identify patients with compartment syndrome directly associated with infection. Four patients' clinical presentations fulfilled the criteria: two presented with infection and compartment syndrome, and two developed compartment syndrome 2-12 hours after admission. All four had beta-hemolytic streptococci on initial culture; three of four grew Group A streptococcus. Fasciotomies and serial debridements were necessary. One patient ultimately underwent amputation through the elbow.
骨筋膜室综合征是一种与多种损伤相关的潜在毁灭性病症，但据作者所知，尚无感染作为病因的相关报道。对1992年期间收治于骨科感染病房的263例上肢感染患者进行了回顾性研究，以确定与感染直接相关的骨筋膜室综合征患者。4例患者的临床表现符合标准：2例同时出现感染和骨筋膜室综合征，2例在入院后2 - 12小时出现骨筋膜室综合征。所有4例患者初始培养均发现β - 溶血性链球菌；4例中有3例培养出A组链球菌。均需要进行筋膜切开术和多次清创术。1例患者最终行肘关节离断术。
