急性骨筋膜室综合征的诊治研究进展

The progress in the diagnosis and treatment of acute compartment syndrome

骨筋膜室综合征(OCS)是临床上常见的急症,病情可进展发生不可逆性的肌肉和神经损伤,严重者可导致截肢甚至死亡。如何早期和准确诊断OCS仍是当前的重大难题,OCS相关的诉讼案件大多数与医源性相关。本文围绕骨筋膜室综合征的诊治及研究进展,在对OCS发展历史、病因、解剖及病理生理机制认识的基础上,着重对于OCS的诊断、监测及处理上进行文献梳理和综述,了解更加有效的诊断与监测手段,达到早发现、早诊断、早处理的目的。

Osteofascial compartment syndrome(OCS)is a common clinical emergency.Irreversible muscle and nerve injuries can occur in the course of the disease.Severe cases can lead to amputation or even death.How to diagnose OCS early and accurately is still a major problem.Most of the lawsuits related to OCS are iatrogenic.Based on the understanding of the history,etiology,anatomy and pathophysiological mechanism of OCS,this paper reviews the literature on its diagnosis,monitoring and treatment,and explores more effective means of diagnosis and monitoring,so as to achieve early detection,early diagnosis and early treatment.