Lower limb compartment syndrome associated with the lithotomy position: concepts and perspectives for the urologist

Lower limb compartment syndrome associated with the lithotomy position: concepts and perspectives for the urologist
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DOI:
10.1046/j.1464-410x.2002.03016.x
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发表时间:
2002-11-01
期刊:
影响因子:
4.5
通讯作者:
Gelister, JS
Gelister, JS
中科院分区:
医学2区
文献类型:
--
作者:
Mumtaz, FH;Chew, H;Gelister, JS

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在截石位长时间后,由于阻碍动脉灌注的封闭肌肉间室内的压力增加而发生下肢间室综合征。它与几种不同的情况和风险因素有关。由此产生的缺血可能会有永久性和致残性后遗症。因此,必须迅速认识到危险因素,并采取适当行动,防止筋膜室综合症的灾难性后果。立即减压可以有效预防未经治疗的筋膜室综合征导致的肢体功能障碍。
Lower limb compartment syndrome after a prolonged period in the lithotomy position develops as a result of an increase in the pressure within a closed muscle compartment that impedes arterial perfusion. It is associated with several diverse circumstances and risk factors. The resultant ischaemia may have permanent and disabling sequelae. It is therefore essential that the risk factors are promptly recognized and appropriate action taken to prevent the disastrous sequelae of compartment syndrome. Immediate decompression could be effective in preventing the limb dysfunction that results from an untreated compartment syndrome.