Gulli B, Templeman D
Department of Orthopaedic Surgery, Hennepin County Medical Center, Minneapolis, Minnesota.
Orthop Clin North Am. 1994 Oct;25(4):677-84.
Compartment syndrome is a devastating consequence of extremity trauma that is preventable with early recognition and treatment. A high index of suspicion and careful clinical evaluation will detect most impending or established compartment syndromes. Compartmental pressure measurements can be a useful adjunctive evaluation. Once the diagnosis of compartment syndrome is confirmed, or highly suspect, fasciotomy should be performed without delay. The functional and cosmetic results of fasciotomy are always acceptable if done early. The results of inadequate treatment of compartment syndrome are never satisfactory.
骨筋膜室综合征是肢体创伤的一种严重后果,通过早期识别和治疗是可以预防的。高度的怀疑指数和仔细的临床评估将发现大多数即将发生或已确诊的骨筋膜室综合征。骨筋膜室内压力测量可以作为一种有用的辅助评估手段。一旦确诊或高度怀疑骨筋膜室综合征,应立即进行筋膜切开术。如果早期进行筋膜切开术,其功能和外观效果通常是可以接受的。骨筋膜室综合征治疗不充分的结果永远不会令人满意。