急性肢体筋膜间隔综合征的诊疗进展

Current diagnosis and treatment of acute extremity compartment syndrome

肢体筋膜间隔综合征可引起筋膜室内神经、肌肉缺血，代谢产物淤积，直至发生不可逆性损伤，损害肢体功能。对成人及儿童进行及时、准确的诊断仍然是一项具有挑战性的工作，临床体征及筋膜室内压力测定尤为关键。本文就近年来对急性筋膜间隔综合征的流行病学、病因、发病机制、诊断、治疗等作一综述。

Extremity compartment syndrome can cause neuromuscular ischemia and deposition of metabolites in the compartment, leading to irreversible lesions which harm limb functions in the end. It is a great challenge for surgeons to make a timely and accurate diagnosis of the syndrome in adults and children. The key is evaluation of the clinical symptoms and intracompartmental pressure. In this paper we summarize the epidemiology, etiology, pathophysiology, and current diagnosis and treatment of acute extremity compartment syndrome of the upper and lower extremities in adults and children.