Lower limb compartment syndrome: Course after delayed fasciotomy
Lower limb compartment syndrome: Course after delayed fasciotomy
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DOI：
10.1097/00005373-199603000-00002
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发表时间：
1996-03-01
影响因子：
--
通讯作者：
Hu, RW
中科院分区：
文献类型：
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作者：
Finkelstein, JA;Hunter, GA;Hu, RW
目的：确定延迟筋膜切开术患者的最终结果，即超过35小时的下肢筋膜室综合征。设计：对下肢闭合性损伤延迟治疗的患者进行回顾性研究，理想情况下，下肢筋膜切开术应该更早进行。材料与方法：对5例患者进行9次筋膜切开术，均在损伤后延迟35小时以上，平均缺血时间56小时（35 ~ 95小时）。结果：1例患者死于多器官功能衰竭和败血症，其余4例患者因局部出血需要截肢。一例晚期截肢是在受伤6个月后进行的，因为患者留下了一个没有功能的无感觉的足。当对已确定的筋膜室综合征的识别延迟超过8至10小时时，我们建议重新评估传统的不可避免的筋膜切开术。
Objective: To determine the end result of patients who underwent delayed fasciotomy, i.e,, more than 35 hours for an established lower limb compartment syndrome.Design: A retrospective review of patients undergoing delayed treatment for a closed injury of the lower extremity, where fasciotomy should ideally have been performed earlier.Materials and Methods: Nine fasciotomies in five patients were identified where there,vas a delay of more than 35 hours after the injury, The average ischemic time was 56 hours (range 35-95 hours).Results: One patient died of multiorgan failure and septicemia, The remaining four patients required lower limb amputation, because of local. infection and septicemia, The one late amputation was performed 6 months after the injury, because the patient was left with a functionless insensate foot, Where recognition of an established compartment syndrome is delayed for more than 8 to 10 hours, we propose that the traditional inevitable fasciotomy be reassessed.