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急性筋膜间区综合症的治疗

Hits: 2034 Download times: 1294 Received:August 13, 1995 Revised:March 20, 1996

作者	Author	单位	Unit	E-Mail
于珂	Yu Ke	山东青岛市市立医院,266011	Municipal Hospital, Qingdao City, ShandongProvince 266011
于洪文	Yu Hongwen	山东青岛市市立医院,266011	Municipal Hospital, Qingdao City, ShandongProvince 266011
彭明	Peng Ming	山东青岛市市立医院,266011	Municipal Hospital, Qingdao City, ShandongProvince 266011

期刊信息：《中国骨伤》1997年10卷，第2期，第3-5页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

急性筋膜间区综合症延误治疗时机会导致肢体残废甚至危及生命。对中轻度者可考虑保守治疗,严密观察病情、制动、抬高息肢、及早应用20％甘露醇脱水。保守无效和重度筋膜间区综合症应及早进行外料处理,不应迟缓。唯一有效的方法是彻底减压,切除坏死组织。选择性减压,一期切开复位内固定及减张植皮是可行的。

[关键词]:筋膜间区综合症严密观察减压甘露醇

Treatment of Acute Fascial Compartment Syndrome

Abstract:The delayed treatment of the acute fascial compartment syndrome can produce disability of the limbs and evev dangerous to the life.The conservative treatment can be applied to the moderate-mild patients,such as closely observing the patient's condition,immobilizing and elevating the filled limb, and applying 20% mannitol for dehydration,as early as possible.As there w no effect in the conservative treatment and the syndrome is Serious,you must be not delay to apply the surgical operation. The only effective method is thorough decomprcssion and excision of the necrotic tissue. The selective decompressron .primary open reduction and internal fixation, and relief skin grafting are feasible.

KEYWORDS:Fascial compartment syndrome Close observation Decompression Mannitol

引用本文，请按以下格式著录参考文献：

中文格式:	于珂,于洪文,彭明.急性筋膜间区综合症的治疗[J].中国骨伤,1997,10(2):3~5
英文格式:	Yu Ke,Yu Hongwen,Peng Ming.Treatment of Acute Fascial Compartment Syndrome[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(2):3~5

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