小腿骨筋膜室综合征急诊诊治的若干认识

The Opinions About the Clinical Diagnosis and Treatment of Osteofascial Compartment Syndrome of Leg

目的:分析小腿骨筋膜室综合征急诊诊治方法,以指导临床工作。方法:回顾性总结48例小腿骨筋膜室综合征的临床资料,对其临床诊治方法及急诊治疗方式进行分析。结果:12 h内确诊的42例小腿骨筋膜室综合征患者,急诊手术后完全康复;24 h内确诊的5例患者,术后残留小腿功能障碍;1例病例在56 h后截肢。结论:小腿骨筋膜室综合征早期确诊。

Objective :To analysis the clinical diagnosis and treatment of osteofascial compartment syndrome of leg as to guide its clinical practice. Methods: Retrospective statistics clinical data in 48 patients with osteofascial compartment syndrome. Results: (1) 42 patients who had been diagnosed osteofascial compartment syndrome within 12 hours absolutely recoxered after operation. (2)5 patients who had been diagnosad in 24 hours had some obstacle of function. (3) 1 patient with osteofascial compartment sqndrome lost his leg after 56 hours. Conlusion:The patients with early diagnosis and clinical operation of osteofocial dompartment syudrome can recover better.