蛇咬伤致骨筋膜室综合征的诊治进展  

The progress of diagnosis and treatment of osteofascial compartment syndrome after snake bite

作　　者：李沫[1] 贺东坡 段海真[1] 张天喜[1] 肖雪[1] 喻安永[1] 谢智慧[2] 

机构地区：[1]遵义医学院第一附属医院急诊科,贵州遵义563000 [2]遵义医学院第一附属医院高压氧科,贵州遵义563000

出　　处：《中国急救医学》2016年第5期472-476,共5页Chinese Journal of Critical Care Medicine

摘　　要：蛇咬伤是一个严重影响公众健康的热带及亚热带急诊疾病，起病急、病情进展快，并发症多且严重，骨筋膜室综合征（OCS）是其并发症之一，文献报道其发病率为0．54％，虽发病率低，但若不能及时诊治，严重时可致截肢，甚至死亡。近年来，国内外有关蛇咬伤致OCS的报道增多，回顾蛇咬伤致OCS的诊治过程，缺乏系统完善的诊治体系及有力的循证依据，需要我们共同努力去建立一个完善的诊治体系，进一步探索蛇咬伤诊治的新思路。Snake bites, a tropical and subtropical emergency disease with characteristics of urgent onset and fast progress, has been regarded as a serious public health problem. Osteofaseial compart- ment syndrome （OCS） is one of the serious complications induced by snake bites. Literature reported its morbidity was 0.54%. Although it＇ s low incidence, but if not timely make a diagnosis and treatment, it can cause amputation and even death. In recent years, the number of literature about snake bite-induced OCS has been inereased at home and abroad. To review the clinical diagnosis and treatment of the snake venom-induced OCS, lack of the systematically perfect diagnosis and treatment system, so we need to work together to establish a comprehensive system, as well as further exploration the new vision in diagnosis and treatment of the OCS after snake bites.

关 键 词：蛇咬伤 骨筋膜室综合征(OCS) 高压氧 氧化应激 

分 类 号：R686.3[医药卫生—骨科学]