地震致骨筋膜室综合征的早期诊断和治疗

The early diagnosis and treatment of osteofascial compartment syndrome because of temblor

目的探讨地震致骨筋膜室综合征的早期诊断和治疗方法。方法分析56例地震致骨筋膜室综合征患者的资料,所有病例均通过输入甘露醇脱水消肿和/或行切开减压,减压有效并骨折者Ⅱ期行骨折固定,无效者及晚期者行坏死物清除保肢或截肢等治疗。结果经早期减压疗效优良者48例(87.5%),其中7例患者经脱水治疗,1例有效,6例再行切开减压;而8例晚期患者死亡1例,截肢2例,肌肉部分坏死致相应关节功能障碍5例。结论早期诊断、早期减压是治疗关键,否则疗效不佳;重视创面处理,防止感染;骨折者适当固定制动以及综合治疗,对病人治疗有重要意义。

Objective To analysis the early diagnosis and treatment of osteofascial compartment syndrome after temblor. Methods 56 cases of patients with osteofascial compartment syndrome after temblor in Wenchuan were treated with mannitol and/or cutting for decompression. The successful decompression patients with fracture were fixated in secendary operation, and the unsuccessful decompression patients were clean up necrotic tissue or amputated extremity. Results 48 of 56 patients （87. 5%） recovered. 8 patients were unsuccessful decompression,including 1 died, 2 were amputated extremity, 5 lost the function of the joint because of necrotic muscle. Conclusion Early diagnosis and surgical decompression are necessary for treatment.