急性筋膜间区综合症的治疗  

Treatment of Acute Fascial Compartment Syndrome

作　　者：于珂[1] 于洪文[1] 彭明[1] 

机构地区：[1]山东青岛市市立医院,266011

出　　处：《中国骨伤》1997年第2期3-5,共3页China Journal of Orthopaedics and Traumatology

摘　　要：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。The delayed treatment of the acute fasclal compart-ment syndrome can produce disability of the limbs andeven dangerous to the life. The conservative treatmentcan be applied to the mederate - mi1d patients, such asclosely observing the patient's condition, immobilizingand elevating the illed limb, and applying 2O% mannitolfor dehydration, as ear1y as possible. As there is no effectin the conservative treatment and the syndrome is seri-ous, you must be not delay to apply the surgical opera-tion. The on1y effective method is thorough decomPres-sion 3nd excision of the necrotic tissue. The selective de-compression, primary open reduction and internal fixa-tion.and relief skin grafting are feasible.

关 键 词：筋膜间区综合症 减压 甘露醇 治疗 

分 类 号：R686.305[医药卫生—骨科学]