小腿骨筋膜室综合征的早期诊断和治疗(附16例临床报告)

Early Diagnosis and Early Treatment of shank Compartment Syndrome with Report of 16 Cases

对骨筋膜室综合征应采用早期诊断 ,预防处理 ,密切监护。对合并胫腓骨骨折的病例施行骨折内固定 ,骨筋膜室切开减压方式 ,同时应用甘露醇 +激素消肿抗自由基治疗。其治疗 16例均疗效满意 ,无合并症发生。

Early diagnosis,preventive measure and close observation should be taken in patients with traumatic shank compartment syndrome.In case combined with fractures of tibia and fibula,operative reduction and internal fixation should be done.If the conservative treatment was not effective,the fasciotomy of appropriate compartments should be performed for decompression.Intravenous infusion of mannitol and dexamethasone and other medicines should be used to reduce the tissue edema and inactivate the free radical of oxygen.16 cases were treated and reported and all achieved satisfactory results without complications.