组织压监测下治疗小腿骨筋膜室综合征30例报告

Treatment of Compartment Syndrome with Monitoring Tissue Pressure in 30 Patients

目的:探讨测定组织压与血压的差值在诊治小腿骨筋膜室综合征的临床意义。方法:应用穿刺法,通过测量30例筋膜室综合征患者组织压、血压,明确减压手术的客观指标。结果:30例中10例行保守治疗,20例行减压治疗,随访均未发生骨筋膜室后遗症。结论:组织压、收缩压、舒张压的结合测量对指导何时行减压术有重要临床意义。当差值为20mmHg时,需即刻减压。

Objective：To study the clinic significance of the difference value between tissue pressure and systolic pressure or diastolic pressure and to make the diagnostic code of compartment syndrome.Methods：Using the puncture method to measure the tissue pressure and the blood pressure of 30 patients to identify the objective parameters of the fasciotomy. Results：Among 30 patients,10 patients with conservative treatment and 20 patients with fasciotomy,none of our 30 patients had any sequelae of the compartment syndrome.Conclusions：The measurement of tissue pressure systolic pressure and diastolic pressure has great clinical significance in the guidance of oppaortune time foa fasciotomy.We recommend that decompression should be performed if the differential pressure level drops to under 20 mmHg.