以进行性胫前肌肉瘫痪为主要表现的小腿筋膜间室综合征一例报告
Journal: Basic Medical Theory Research DOI: 10.32629/bmtr.v8i3.20459
Abstract
骨筋膜间室综合征因其容易造成严重的神经、肌肉不可逆损伤,甚至因诊治不当而致多器官功能衰竭而死亡,所以是创伤骨科最严重的并发症。早期识别并行筋膜切开减压是该病诊治的关键,但临床上往往存在症状不典型的病例,因而导致其失治误治,造成严重的不可逆后果,本文分享一例以进行性肌肉瘫痪为主要表现的骨筋膜间室综合征患者,以经验教训为导向,为临床医师提供一种诊治思路。
Keywords
骨筋膜室综合征;进行性肌肉瘫痪;漏诊
Full Text
PDF - Viewed/Downloaded: 0 TimesReferences
[1] 陈智灵,陈唐瑜,钱会娟,等.成人急性骨筋膜室综合征早期评估和管理的最佳证据总结[J].中华护理杂志,2023,58(16):2004-2011.
[2] 刘志,李杰,杨绪峰,等.两种技术闭合筋膜切开减张创口的比较[J].中国矫形外科杂志,2022,30(01):77-80.
[3] 陈立刚,黄建国,李良,等.尺桡双骨折早期筋膜室症两种减压内固定比较[J].中国矫形外科杂志,2022,30(11):1031-1034.
[4] 林哲.急性骨筋膜室综合征的临床研究[D].河北医科大学,2024.
[5] 殷贤斌,朱晓丽,黄小玲,等.尿红细胞与尿隐血检测方法评价及影响因素分析[J].贵州医药,2019,43(11):1704-1706.
[6] 万学红,卢雪峰.诊断学[M].第10版,北京:人民卫生出版社,2024:293
[7] 刘思瑜.肌酸激酶增高患儿的病因构成与特点分析[D].河北医科大学,2023.
[8] 王硕.乳酸脱氢酶LDH-A4、LDH-B4和LDH-C4的性质比较分析[D].西南民族大学,2023.
[9] von Keudell AG, Weaver MJ, Appleton PT, et al. Diagnosis and treatment of acute extremity compartment syndrome. Lancet. 2015;386(10000):1299-1310.
[10] 李俊锋.南宁市急性骨筋膜室综合征流行病学特征及截肢的危险因素分析[D].广西医科大学,2022.
[11] Zuchelli D , Divaris N , McCormack JE ,et al. Extremity compartment syndrome following blunt trauma: a level I trauma center's 5-year experience[J]. J Surg Res, 2017,217:131-136.
[12] Seddon HJ. Volkmann's ischaemia in the lower limb. J Bone Joint Surg Br. 1966 Nov;48(4):627-36. PMID: 5953807.
[13] von Keudell AG, Weaver MJ, Appleton PT, et al. Diagnosis and treatment of acute extremity compartment syndrome. Lancet. 2015;386(10000):1299-1310.
[14] 中华医学会骨科学分会外固定与肢体重建学组,中国医师协会创伤外科医师分会创伤感染专业委员会,中国医师协会骨科医师分会创伤专家工作委员会.中国急性骨筋膜室综合征早期诊断与治疗指南(2020版)[J].中华创伤骨科杂志,2020,22(08):645-654.
[15] Osborn CPM , Schmidt AH . Management of acute compartment syndrome[J]. J Am Acad Orthop Surg, 2020,28(3):e108-e114.
[16] Mauffrey C, Hak DJ, Martin III MP, eds. Compartment Syndrome: A Guide to Diagnosis and Management. Cham (CH): Springer; 2019.
[17] Chandraprakasam T, Kumar RA. Acute compartment syndrome of forearm and hand. Indian J Plast Surg. 2011;44(2):212-218.
[18] Christoffersen JK, Hove LD, Mikkelsen KL, Krogsgaard MR. Well Leg Compartment Syndrome After Abdominal Surgery. World J Surg. 2017;41(2):433-438.
[2] 刘志,李杰,杨绪峰,等.两种技术闭合筋膜切开减张创口的比较[J].中国矫形外科杂志,2022,30(01):77-80.
[3] 陈立刚,黄建国,李良,等.尺桡双骨折早期筋膜室症两种减压内固定比较[J].中国矫形外科杂志,2022,30(11):1031-1034.
[4] 林哲.急性骨筋膜室综合征的临床研究[D].河北医科大学,2024.
[5] 殷贤斌,朱晓丽,黄小玲,等.尿红细胞与尿隐血检测方法评价及影响因素分析[J].贵州医药,2019,43(11):1704-1706.
[6] 万学红,卢雪峰.诊断学[M].第10版,北京:人民卫生出版社,2024:293
[7] 刘思瑜.肌酸激酶增高患儿的病因构成与特点分析[D].河北医科大学,2023.
[8] 王硕.乳酸脱氢酶LDH-A4、LDH-B4和LDH-C4的性质比较分析[D].西南民族大学,2023.
[9] von Keudell AG, Weaver MJ, Appleton PT, et al. Diagnosis and treatment of acute extremity compartment syndrome. Lancet. 2015;386(10000):1299-1310.
[10] 李俊锋.南宁市急性骨筋膜室综合征流行病学特征及截肢的危险因素分析[D].广西医科大学,2022.
[11] Zuchelli D , Divaris N , McCormack JE ,et al. Extremity compartment syndrome following blunt trauma: a level I trauma center's 5-year experience[J]. J Surg Res, 2017,217:131-136.
[12] Seddon HJ. Volkmann's ischaemia in the lower limb. J Bone Joint Surg Br. 1966 Nov;48(4):627-36. PMID: 5953807.
[13] von Keudell AG, Weaver MJ, Appleton PT, et al. Diagnosis and treatment of acute extremity compartment syndrome. Lancet. 2015;386(10000):1299-1310.
[14] 中华医学会骨科学分会外固定与肢体重建学组,中国医师协会创伤外科医师分会创伤感染专业委员会,中国医师协会骨科医师分会创伤专家工作委员会.中国急性骨筋膜室综合征早期诊断与治疗指南(2020版)[J].中华创伤骨科杂志,2020,22(08):645-654.
[15] Osborn CPM , Schmidt AH . Management of acute compartment syndrome[J]. J Am Acad Orthop Surg, 2020,28(3):e108-e114.
[16] Mauffrey C, Hak DJ, Martin III MP, eds. Compartment Syndrome: A Guide to Diagnosis and Management. Cham (CH): Springer; 2019.
[17] Chandraprakasam T, Kumar RA. Acute compartment syndrome of forearm and hand. Indian J Plast Surg. 2011;44(2):212-218.
[18] Christoffersen JK, Hove LD, Mikkelsen KL, Krogsgaard MR. Well Leg Compartment Syndrome After Abdominal Surgery. World J Surg. 2017;41(2):433-438.
Copyright © 2026 李继兵, 钟永平, 但东立
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
