Acute compartment syndrome of the limb

被引：64

作者：

Köstler, W ^{[1
]}

Strohm, PC ^{[1
]}

Südkamp, NP ^{[1
]}

机构：

[1] Univ Freiburg, Klinikum Freiburg, Dept Orthopaed & Traumatol, Klin Traumatol, D-79106 Freiburg, Germany

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2004年 / 35卷 / 12期

关键词：

compartment; compartment syndrome; fracture complications;

D O I：

10.1016/j.injury.2004.04.009

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

In this review the aetiology, clinical signs, diagnosis and therapy of the acute compartment syndrome of the limb is discussed. It is a limb- and untreated life threatening emergency. For good results, early detection is necessary. It is important to educate those taking care of patients of risk, especially in the early symptoms and signs. In uncooperative, unconscious and sedated patients pressure monitoring is recommended. The critical level of the absolute intracompartmental pressure is unclear. It is recommended to use a delta p pressure of 30 mm Hg. Below this pressure in the presence of clinical signs a fasciotomy of all compartments is the treatment of choice. (C) 2004 Elsevier Ltd. All rights reserved.

引用

页码：1221 / 1227

页数：7

共 43 条

[1] INTRACOMPARTMENTAL PRESSURE MONITORING OF LEG INJURIES - AN AID TO MANAGEMENT [J].