FLUID BALANCE WITHIN CANINE ANTEROLATERAL COMPARTMENT AND ITS RELATIONSHIP TO COMPARTMENT SYNDROMES

被引：146

作者：

HARGENS, AR ^{[1
]}

AKESON, WH ^{[1
]}

MUBARAK, SJ ^{[1
]}

OWEN, CA ^{[1
]}

EVANS, KL ^{[1
]}

GARETTO, LP ^{[1
]}

GONSALVES, MR ^{[1
]}

SCHMIDT, DA ^{[1
]}

机构：

[1] VET ADM HOSP,SAN DIEGO,CA 92161

来源：

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME | 1978年 / 60卷 / 04期

关键词：

D O I：

10.2106/00004623-197860040-00012

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Fluid homeostasis within muscle compartments is maintained by four pressures: capillary blood pressure, capillary blood oncotic pressure, tissue-fluid pressure, and tissue-fluid oncotic pressure. As determined in the canine anterolateral compartment, capillary blood pressure is 25 ± 3 millimeters of mercury; capillary blood oncotic pressure, 26 ± 3 millimeters of mercury; tissue-fluid pressure, -2 ± 2 millimeters of mercury; and tissue-fluid oncotic pressure, 11 ± 1 millimeters of mercury. The wick technique allows direct measurement of tissue-fluid pressure in skeletal muscle and, with minor modifications, is adapted to collect microsamples of interstitial fluid for determinations of tissue-fluid oncotic pressure. The wick technique detects very slight fluctuations in intracompartmental pressure such as light finger compression, injection of small volumes of fluid, and even pulsation due to adjacent arterial pressure. Adjacent muscle compartments may contain different tissue-fluid pressures due to impermeable osseofascial barriers. The authors' results obtained in canine muscle compartments pressurized by infusion of autologous plasma suggest that risks of muscle damage are significant at intracompartmental pressures greater than thirty millimeters of mercury.

引用

页码：499 / 505

页数：7

共 26 条

[1] EFFECT OF MANNITOL ON GLOMERULAR ULTRAFILTRATION IN HYDROPENIC RAT [J].