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分析了诊治筋膜间室综合征42例,其中前臂10例,大腿5例,小腿19例,手6例,臀部1例,足1例。主要诱发病因有:骨折处理不当、肢体主要血管损伤和挤压伤等。筋膜间室综合征的预后主要取决于及时诊断和治疗。治疗主要以筋膜切开减压共32例,疗效肯定。肢体主要血管损伤所致的筋膜间室综合征,筋膜切开减压越早越好。小腿筋膜间室综合征,在12小时内行筋膜切开减压,预后良好。早期、轻症的8例用甘露醇滴注疗效满意。
There were 42 cases diagnosed and treated with compartment syndrome, including 10 cases of forearm, 5 cases of thigh, 19 cases of lower leg, 6 cases of hand, 1 case of hip and 1 case of foot. The main causes are: improper treatment of fractures, limbs, major vascular injury and crush injury. The prognosis of compartment syndrome depends mainly on timely diagnosis and treatment. Treatment of fascia incision decompression total of 32 cases, the effect is sure. Fetal compartment syndrome caused by the main vascular injury limbs, fascia incision decompression sooner the better. Fascia compartment syndrome, fascia incision decompression within 12 hours, the prognosis is good. Early, mild cases of satisfactory effect with mannitol infusion.