Compartment syndrome: A complication of acute extremity trauma
Compartment syndrome: A complication of acute extremity trauma
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DOI：
10.1016/0736-4679(94)90418-9
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发表时间：
1994-01-01
影响因子：
1.5
通讯作者：
Mabee, John Richard
中科院分区：
文献类型：
--
作者：
Mabee, John Richard
昏迷综合征是四肢创伤的一种严重的潜在并发症。骨折、挤压伤、烧伤和动脉损伤等可导致闭合骨筋膜或间室间隙内的组织压力增加。长时间暴露在高压下会导致神经和肌肉坏死。在存在物理性紧密间隔的情况下，镇痛未缓解的极度疼痛、压迫的主观主诉、被动肌肉拉伸疼痛、轻瘫、感觉异常和脉搏完整，应提醒医生存在间隔综合征。诊断是临床诊断，但可通过测量室间组织压力来辅助诊断。Combustion综合征是一种外科急症，需要立即进行筋膜切开术治疗。时间是一个关键因素;组织压力升高的持续时间越长，灾难性后遗症的可能性就越大。急诊医学提供者必须认识到这种临床综合征，以便早期紧急手术咨询，以避免并发症。
Compartment syndrome is a serious potential complication of trauma to the extremities. Fractures, crush injuries, burns, and arterial injuries, among others, can result in increased tissue pressure within closed osseofascial or compartmental spaces. Prolonged exposure to elevated pressure can result in nerve and muscle necrosis. Extreme pain unrelieved with analgesia, subjective complaint of pressure, pain with passive muscle stretching, paresis, paresthesia, and intact pulses, in the presence of a physically tight compartment, should alert the physician to the presence of a compartment syndrome. The diagnosis is a clinical one, but it may be aided by measurements of intracompartmental tissue pressures. Compartment syndrome is a surgical emergency requiring prompt treatment by fasciotomy. Time is a critical factor; the longer the duration of elevated tissue pressure, the greater the potential for disastrous sequelae. Emergency medicine providers must be cognizant of this clinical syndrome so that early emergent surgical consultation can be obtained to avoid complications.