骨筋膜室综合征的病理生理机制及诊断研究进展

Advances in the pathophysiology and diagnosis of acute compartment syndrome

急性骨筋膜室综合征是指骨筋膜室内的肌肉和神经因急性缺血、低氧而产生的一系列早期症候群。由于骨筋膜室综合征的临床症状和体征多变不具特异性,并且除了创伤以外还有很多其他原因,故其诊断和治疗仍然是个难题。另外其病理生理机制至今仍不清楚,导致没有理想的诊断策略。本文对骨筋膜室综合征的病理生理过程及诊断方法进行了整理汇总,并为以后的诊断和治疗指出了可能的方向。

Acute compartment syndrome refers to a series of early symptoms caused by acute ischemia and hypoxia in the muscles and nerves in the compartment.The diagnosis and treatment of acute compartment syndrome caused by trauma is still a problem because the clinical symptoms and signs are not specific and there are many other reasons besides trauma.In addition,its pathophysiology is still unclear,leading to no ideal diagnostic strategy.This article summarizes the pathophysiological process and diagnostic methods of acute compartment syndrome,and points out possible directions for future diagnosis and treatment.